Individual provider Active NPI

Chiyoko Kobayashi Frank, PH.D

  • Psychologist
  • Ithaca, NY
National Provider Identifier
1497197743
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
021554 Issued in NY
Practice address
420 E State St
Ithaca, NY 14850-4410
Phone
(646) 450-1644
NPI assigned
Jul 26, 2013
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 021554 NY Primary

Addresses

Primary practice location

420 E State St
Ithaca, NY 14850-4410

Mailing address

420 E State St
Ithaca, NY 14850-4410
Phone (646) 450-1644

Other identifiers 1

IdentifierTypeStateIssuer
04459798MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160908000479 NY Practitioner - Clinical Psychologist 9537455134 Practice locations: Ithaca, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
JS Weill Medical College, Cornell University, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

420 E State St
Ithaca, NY 14850-4410
Phone (646) 450-1644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1497197743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504410",
            "telephone_number": "646-450-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504410",
            "telephone_number": "646-450-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "CHIYOKO",
        "middle_name": "KOBAYASHI",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "021554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04459798",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.