Active NPI
Norman J Kanter, PHD
- Clinical Psychologist
- Smithtown, NY
National Provider Identifier
1609957091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0050351
- Practice address
- 199 East Main Street
Suite 1
Smithtown, NY 11787-2892 - Phone
- (631) 724-6737
- Fax
- (631) 265-4646
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0050351 | NY | Primary |
Addresses
Primary practice location
199 East Main Street
Suite 1
Smithtown, NY 11787-2892
Mailing address
199 East Main Street
Suite 1
Smithtown, NY 11787-2892
Phone (631) 724-6737
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0094988 | Other | VALUEOPTIONS | |
| 004341259 | Other | AETNA | |
| 21360D | Other | MHN | |
| P32254991 | Other | GEHA | |
| P704543 | Other | OXFORD | |
| 10927 | Other | VYTRA | |
| 32254991 | Other | MULTIPLAN |
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 |
|---|---|---|---|
| 005035 | NY | MD | Mental Health Counselor |
| 0050351 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609957091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 EAST MAIN STREET",
"address_2": "SUITE 1",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872892",
"telephone_number": "631-724-6737",
"fax_number": "631-265-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 EAST MAIN STREET",
"address_2": "SUITE 1",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872892",
"telephone_number": "631-724-6737",
"fax_number": "631-265-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTER",
"first_name": "NORMAN",
"middle_name": "J",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "0050351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "0094988",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "004341259",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "21360D",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEHA",
"identifier": "P32254991",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P704543",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "10927",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "32254991",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.