Active NPI
Kenneth R. Wilkes M.D P.C
- Psychiatry Physician
- Plainview, NY
National Provider Identifier
1528360245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- KENNETH R. WILKES M.D P.C
- Practice address
- 146 Manetto Hill Road
Plainview, NY 11803 - Phone
- (516) 938-3866
- NPI assigned
- Dec 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Roger Wilkes, M.D.
- Title
- President
- Phone
- (516) 938-3866
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
146 Manetto Hill Road
Plainview, NY 11803
Mailing address
146 Manetto Hill Road
Plainview, NY 11803
National Provider Directory
National Provider DirectoryLocations
146 Manetto Hill Rd
Ste 130
Plainview, NY 11803
Phone (516) 938-3866
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Plainview, NY
- NPI 1528081726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291161600000",
"number": "1528360245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 MANETTO HILL ROAD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "11803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 MANETTO HILL ROAD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "11803",
"telephone_number": "516-938-3866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH R. WILKES M.D P.C",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-01",
"status": "A",
"authorized_official_last_name": "WILKES",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "ROGER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-938-3866",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.