Kailee Ryoko Kodama Muscente, MA, MED

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

246 Greene St.
Kimball Hall, 5TH Floor
New York, NY 10003

Phone

(212) 998-5573

NPI assigned

Oct 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Education

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1669293247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WILFRED ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525809",
            "telephone_number": "626-372-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 GREENE ST.",
            "address_2": "KIMBALL HALL, 5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-998-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODAMA MUSCENTE",
        "first_name": "KAILEE",
        "middle_name": "RYOKO",
        "credential": "MA, MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Philip Koczka, MD
• Leszek Kocztorz
• Kaitlin Kodak
• Nilesh Kodali
• Susheel Kumar Kodali, M.D.
• Rich Toshio Kodama, DO
• Parul Kodan
• Hemal Kodikara, MBCHB
• Hima Bindu Kodishala
• Gayathri Kodiyalam

• Counseling Psychologist in New York, NY
• Providers in New York, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.