Active NPI
Kiley Bliss, PHD, PLP
- Psychologist
- Valhalla, NY
National Provider Identifier
1588088686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 021966
- Practice address
- 20 Hospital Oval West
Valhalla, NY 10595 - Phone
- (914) 493-6854
- Fax
- (914) 493-1973
- NPI assigned
- Feb 10, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 021966 | NY | Primary |
| Psychologist | 103T00000X | 3516 | CT |
Addresses
Primary practice location
20 Hospital Oval West
Valhalla, NY 10595
Mailing address
20 Hospital Oval West
Valhalla, NY 10595
Phone (914) 493-6854
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 |
|---|---|---|---|
| 3516 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1588088686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HOSPITAL OVAL WEST",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-493-6854",
"fax_number": "914-493-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOSPITAL OVAL WEST",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-493-6854",
"fax_number": "914-493-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLISS",
"first_name": "KILEY",
"credential": "PHD, PLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-10",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "021966",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "3516",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.