Individual provider Active NPI

Kathleen Cullen-Kortleven, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1710108733
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400595 Issued in NY
Practice address
329 E 62ND St
New York, NY 10065-7769
Phone
(914) 473-2219
Fax
(718) 885-1255
NPI assigned
May 1, 2007
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400595 NY Primary

Addresses

Primary practice location

329 E 62ND St
New York, NY 10065-7769

Mailing address

329 E 62ND St
New York, NY 10065-7769
Phone (914) 473-2219

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060309000600 NY Practitioner - Nurse Practitioner 0941217376 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

329 E 62ND St
New York, NY 10065-7769
Phone (914) 473-2219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F400595NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center of Westchester, Inc CurrentSince Jan 7, 2010 Accepting new patients
Service Program for Older People PastSince Mar 5, 2013 Accepting new patients

Locations

256 Washington St
Ste 2
Mount Vernon, NY 10553
Phone 91461307003338

20 Sickles Ave
New Rochelle, NY 10801
Phone (914) 632-1374

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1710108733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E 62ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657769",
            "telephone_number": "914-473-2219",
            "fax_number": "718-885-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E 62ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657769",
            "telephone_number": "914-473-2219",
            "fax_number": "718-885-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN-KORTLEVEN",
        "first_name": "KATHLEEN",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.