Active NPI
Amanda Hahn-Ketter, PSYD
- Clinical Neuropsychologist
- New York, NY
National Provider Identifier
1699291401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 138 W 25TH St FL 10
New York, NY 10001-7470 - Phone
- (646) 237-4174
- NPI assigned
- Aug 15, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 021896-1 | NY | |
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
138 W 25TH St FL 10
New York, NY 10001-7470
Mailing address
138 W 25TH St FL 10
New York, NY 10001-7470
Phone (212) 335-2100
Other practice location 1
75-59 263rd St
Glen Oaks, NY 11004
Phone (718) 470-8763
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021896 | NY | MD | Occupational Therapist |
| 021896-1 | NY | MD | Physician Assistant |
Interoperability endpoints
- amandahahn-ketter@nslijmedgr.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1699291401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 W 25TH ST FL 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017470",
"telephone_number": "212-335-2100",
"fax_number": "646-775-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 W 25TH ST FL 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017470",
"telephone_number": "646-237-4174"
}
],
"practiceLocations": [
{
"address_1": "75-59 263rd St",
"address_purpose": "LOCATION",
"city": "Glen Oaks",
"state": "NY",
"postal_code": "11004",
"country_code": "US",
"telephone_number": "718-470-8763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAHN-KETTER",
"first_name": "AMANDA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021896-1",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"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 Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.