Organization Active NPI

Keri Chernuchin, Psy.D. PLLC

  • Psychologist
  • Syosset, NY
National Provider Identifier
1497256440
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
KERI CHERNUCHIN, PSY.D. PLLC
Practice address
485 Underhill Blvd Ste 101
Syosset, NY 11791-3434
Phone
(516) 921-0183
NPI assigned
Feb 26, 2018
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Dr. Keri Chernuchin, PSY.D.NPI 1780185736
Title
Manager / Psychologist
Phone
(516) 921-0183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

485 Underhill Blvd Ste 101
Syosset, NY 11791-3434

Mailing address

485 Underhill Blvd Ste 101
Syosset, NY 11791-3434
Phone (516) 921-0183

Other identifiers 1

IdentifierTypeStateIssuer
03-0544495OtherNYPSYCHOLOGICAL FACTS PLLC

National Provider Directory

National Provider Directory

Locations

485 Underhill Blvd
Ste 101
Syosset, NY 11791
Phone (516) 584-2741

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1497256440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 UNDERHILL BLVD STE 101",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913434",
            "telephone_number": "516-921-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 UNDERHILL BLVD STE 101",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913434",
            "telephone_number": "516-921-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERI CHERNUCHIN, PSY.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2023-06-05",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "CHERNUCHIN",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "MANAGER / PSYCHOLOGIST",
        "authorized_official_telephone_number": "516-921-0183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGICAL FACTS PLLC",
            "identifier": "03-0544495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.