Rachel Kidron, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022534-1 Issued in NY

Practice address

1510 Ocean Pkwy Apt B12
Brooklyn, NY 11230-7061

Phone

(646) 410-8595

NPI assigned

Aug 9, 2018

Last updated

Aug 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lower Manhattan Psychology PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1124727615
  Medicare reassignment NPD

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1679052674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 OCEAN PKWY APT B12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307061",
            "telephone_number": "646-410-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 OCEAN PKWY APT B12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307061",
            "telephone_number": "646-410-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDRON",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022534-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiddy Steps Incorporated
• Kidi-Splint, Inc
• Kidney Care Associates, PLLC
• Kidney Care of Brooklyn and Queens, PLLC
• Dana Kidney, LCSW
• Kids Club Leo Corp
• Kids Forever Corp
• Kids Growth Corp
• Kids Improvement Inc
• Kids in Shape Physical Therapy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.