Active NPI
Kathryn Gentile, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1699143651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 016911-1
- Practice address
- 1841 Broadway
4TH Floor
New York, NY 10023-7603 - Phone
- (941) 932-0954
- NPI assigned
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 016911-1 | NY | Primary |
Addresses
Primary practice location
1841 Broadway
4TH Floor
New York, NY 10023-7603
Mailing address
228 Jefferson St
Apt 1
Hoboken, NJ 07030-1913
Phone (941) 932-0954
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016911-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1699143651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 JEFFERSON ST",
"address_2": "APT 1",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070301913",
"telephone_number": "941-932-0954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 BROADWAY",
"address_2": "4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237603",
"telephone_number": "941-932-0954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "KATHRYN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016911-1",
"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 Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.