Kathryn Rose Coyle, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

023556 Issued in NY

Practice address

2277 Grand Ave
Baldwin, NY 11510-3148

Phone

(516) 377-5400

NPI assigned

Nov 7, 2019

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2019.

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1508401100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CENTERSHORE RD",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211346",
            "telephone_number": "631-896-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103148",
            "telephone_number": "516-377-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kathryn.coyle@snch.org",
            "affiliation": "N",
            "address_1": "2277 Grand Ave",
            "city": "Baldwin",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115103148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cornerstone Kids OT PC
• Paul France Cosgrove, DDS
• Cox Clinical Social Work Services P.C.
• Charles E Cox, LCSW
• Jessica Coyer, PSY.D.
• Nonie Craige, LCSW
• Jovita M Crasta, MD
• Debra Rosemary Crookendale, MSN RN
• Ivory Geraldine Cuero
• Shirley Cueva, M.D.

• All providers in Baldwin, NY
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.