Individual provider Active NPI

Kathleen R Hushion, LCSW

  • Psychologist
  • Huntington Station, NY
National Provider Identifier
1619028537
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
R030140 Issued in NY
Practice address
2 Chimay CT
Huntington Station, NY 11746-1904
Phone
(917) 671-7951
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X R030140 NY Primary

Addresses

Primary practice location

2 Chimay CT
Huntington Station, NY 11746-1904

Mailing address

2 Chimay CT
Huntington Station, NY 11746-1904
Phone (212) 799-0962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031122000025 NY Practitioner - Clinical Social Worker 2365346111 Practice locations: Huntington Station, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Chimay CT
Huntington Station, NY 11746-1904
Phone (917) 671-7951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R030140NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1619028537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHIMAY CT",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461904",
            "telephone_number": "212-799-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHIMAY CT",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461904",
            "telephone_number": "917-671-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSHION",
        "first_name": "KATHLEEN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "R030140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.