Organization Active NPI

Kostas a. Katsavdakis, PHD, PC

  • Psychologist
  • New York, NY
National Provider Identifier
1699078741
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0150181 Issued in NY
Legal business name
KOSTAS A. KATSAVDAKIS, PHD, PC
Practice address
276 5TH Ave
Suite 905
New York, NY 10001-4509
Phone
(212) 571-4249
Fax
(212) 571-4176
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Kostas Andreas Katsavdakis, PHD
Title
Executive Director
Phone
(212) 571-4249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 0150181 NY Primary

Addresses

Primary practice location

276 5TH Ave
Suite 905
New York, NY 10001-4509

Mailing address

276 5TH Ave
Suite 905
New York, NY 10001-4509
Phone (212) 571-4249

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1699078741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 5TH AVE",
            "address_2": "SUITE 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014509",
            "telephone_number": "212-571-4249",
            "fax_number": "212-571-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 5TH AVE",
            "address_2": "SUITE 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014509",
            "telephone_number": "212-571-4249",
            "fax_number": "212-571-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSTAS A. KATSAVDAKIS, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "KATSAVDAKIS",
        "authorized_official_first_name": "KOSTAS",
        "authorized_official_middle_name": "ANDREAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-571-4249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0150181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.