Kimberly Ostolaza, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018578 Issued in NY

Practice address

513 Reynolds Ave
Bronx, NY 10465-3619

Phone

(646) 456-5356

NPI assigned

May 18, 2010

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1548589468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 REYNOLDS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653619",
            "telephone_number": "718-866-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 REYNOLDS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653619",
            "telephone_number": "646-456-5356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 S Broadway",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106014400",
            "country_code": "US",
            "telephone_number": "914-681-9435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTOLAZA",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Monica Ossa Galvis, M.D
• Jesse Ossenkopp, LMFT
• Husam Ossi
• Robert Ossiboff, DVM, PHD
• Robert J Ostfeld, MD, MS
• Eileen M Ostrander, R.D.
• Margaret C Ostrander, M.S, R.D, CDN, CSO
• Anna Ostro
• Inna D Ostrovskaya
• Talia Ostrow

• Clinical Psychologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.