Active NPI
Kevin Patrick Duffy, PSY.D.
- School Psychologist
- Tonawanda, NY
National Provider Identifier
1578616603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 68 015908
- Practice address
- 884 Brighton Rd
Tonawanda, NY 14150-8169 - Phone
- (716) 836-9460
- Fax
- (716) 836-9462
- NPI assigned
- Jan 20, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 Neuropsychologist | 103G00000X | 68 015908 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 68 015908 | NY | |
| School Psychologist | 103TS0200X | 68 015908 | NY | Primary |
Addresses
Primary practice location
884 Brighton Rd
Tonawanda, NY 14150-8169
Mailing address
884 Brighton Rd
Tonawanda, NY 14150-8169
Phone (716) 836-9460
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6112738 | Other | NY | IHA |
| 00026901802 | Other | NY | UNIVERA |
| 539875 | Other | NY | VO |
| 000527938003 | Other | NY | BC BS |
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 |
|---|---|---|---|
| 68 015908 | NY | MD | Clinical Child & Adolescent Psychologist |
| 015908 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Psychology Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Buffalo, NY
- NPI 1568460988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1578616603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "884 BRIGHTON RD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141508169",
"telephone_number": "716-836-9460",
"fax_number": "716-836-9462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "884 BRIGHTON RD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141508169",
"telephone_number": "716-836-9460",
"fax_number": "716-836-9462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "KEVIN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "68 015908",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "68 015908",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "68 015908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "6112738",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026901802",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VO",
"identifier": "539875",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "000527938003",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.