Organization Active NPI

KGH Psychology Practice LLC

  • Clinical Psychologist
  • Phillipsburg, NJ
National Provider Identifier
1699318659
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KGH PSYCHOLOGY PRACTICE LLC
Practice address
403 Coventry Dr
Phillipsburg, NJ 08865-1969
Phone
(908) 386-2100
Fax
(908) 386-2200
NPI assigned
Oct 22, 2019
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Dr. Kyna D Griffith-Henry, PH.D.NPI 1255504809
Title
Licensed Psychologist
Phone
(908) 386-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

403 Coventry Dr
Phillipsburg, NJ 08865-1969

Mailing address

403 Coventry Dr
Phillipsburg, NJ 08865-1969
Phone (908) 386-2100

Other names 2

  • Dr. Kyna Griffith-Henry Other name
  • KGHPP Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191206000031 NJ Part B Supplier - Clinic/Group Practice 1557794492 Receives reassigned benefits from 1 practitioner
Practice locations: Phillipsburg, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1699318659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651969",
            "telephone_number": "908-386-2100",
            "fax_number": "908-386-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651969",
            "telephone_number": "908-386-2100",
            "fax_number": "908-386-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KGH PSYCHOLOGY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH-HENRY",
        "authorized_official_first_name": "KYNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "908-386-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Kyna Griffith-Henry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dr. Kyna Griffith-Henry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "KGHPP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.