Active NPI
Ronald Keith Barnett, PHD
- Clinical Psychologist
- White Plains, NY
National Provider Identifier
1629088778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 006868-1
- Practice address
- Three Barker Avenue
4TH Floor Park Avenue Medical Associates PC
White Plains, NY 10601 - Phone
- (914) 949-1199
- Fax
- (914) 949-1245
- NPI assigned
- Aug 9, 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 | 006868-1 | NY | Primary |
Addresses
Primary practice location
Three Barker Avenue
4TH Floor Park Avenue Medical Associates PC
White Plains, NY 10601
Mailing address
Three Barker Avenue
4TH Floor Park Avenue Medical Associates PC
White Plains, NY 10601
Phone (914) 949-1199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01475974 | Medicaid | NY |
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 |
|---|---|---|---|
| 006868-1 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Che Senior Psychological Services, PC | Clinical | 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 and National Provider Directory roles.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629088778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THREE BARKER AVENUE",
"address_2": "4TH FLOOR PARK AVENUE MEDICAL ASSOCIATES PC",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-949-1199",
"fax_number": "914-949-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THREE BARKER AVENUE",
"address_2": "4TH FLOOR PARK AVENUE MEDICAL ASSOCIATES PC",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-949-1199",
"fax_number": "914-949-1245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNETT",
"first_name": "RONALD",
"middle_name": "KEITH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "006868-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01475974",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, 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.