Individual provider Active NPI

Debra Kuhn, PH.D.

  • Clinical Psychologist
  • Brightwaters, NY
National Provider Identifier
1700820289
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7848-1 Issued in NY
Practice address
140 S Windsor Ave
Brightwaters, NY 11718-1506
Phone
(631) 666-3354
Fax
(631) 666-1663
NPI assigned
Jun 15, 2006
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7848-1 NY Primary

Addresses

Primary practice location

140 S Windsor Ave
Brightwaters, NY 11718-1506

Mailing address

140 S Windsor Ave
Brightwaters, NY 11718-1506
Phone (631) 666-3354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000648 NY Practitioner - Clinical Psychologist 0446350730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Debra Kuhn Psychological Services, PCGroup PAC ID 5092872838, 2 clinicians

Practice addresses (Care Compare)

140 S Windsor Ave
Brightwaters, NY 11718-1506
Phone (631) 666-3354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7848-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Kuhn Psychological Services, PC CurrentSince Jul 1, 1990 Accepting new patients
Nancy F Solomon, LCSW, P.C. PastSince Jul 1, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1700820289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S WINDSOR AVE",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181506",
            "telephone_number": "631-666-3354",
            "fax_number": "631-666-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S WINDSOR AVE",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181506",
            "telephone_number": "631-666-3354",
            "fax_number": "631-666-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHN",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "7848-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brightwaters, NY

Sources for this page

Verify at the official NPI Registry.