Active NPI
Kristen Kochanski, PHD, MSCP
- Prescribing (Medical) Psychologist
- Newport, RI
National Provider Identifier
1528461027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 074.000009
- Practice address
- 43 Smith Rd
Newport, RI 02841-1006 - Phone
- (401) 841-1919
- NPI assigned
- Sep 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.010578 | IL | |
| Clinical Psychologist | 103TC0700X | 0810005106 | VA | |
| Prescribing (Medical) Psychologist | 103TP0016X | 074.000009 | IL | Primary |
Addresses
Primary practice location
43 Smith Rd
Newport, RI 02841-1006
Mailing address
43 Smith Rd
Newport, RI 02841-1006
Phone (401) 841-1919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071.010578 | Other | IL | LICENSED CLINICAL PSYCHOLOGIST |
| 074.000009 | Other | IL | LICENSED PRESCRIBING PSYCHOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.010578 | IL | MD | Clinical Psychologist |
| 0810005106 | VA | MD | Clinical Psychologist |
| 074.000009 | IL | MD | Prescribing (Medical) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1528461027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 SMITH RD",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028411006",
"telephone_number": "401-841-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 SMITH RD",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028411006",
"telephone_number": "401-841-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHANSKI",
"first_name": "KRISTEN",
"credential": "PHD, MSCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-29",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.010578",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005106",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "IL",
"license": "074.000009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL PSYCHOLOGIST",
"identifier": "071.010578",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PRESCRIBING PSYCHOLOGIST",
"identifier": "074.000009",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.