Individual provider Active NPI

Kathleen Manupella Sweener, PSY.D.

  • Psychologist
  • Troy, NY
National Provider Identifier
1710135728
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
014350 Issued in NY
Practice address
116 3Rd St
Troy, NY 12180-4037
Phone
(518) 235-3701
Fax
(518) 266-9236
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 014350 NY Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 014350 NY
Clinical Child & Adolescent Psychologist 103TC2200X 014350 NY

Addresses

Primary practice location

116 3Rd St
Troy, NY 12180-4037

Mailing address

7 Horizon LN
Troy, NY 12182-1663
Phone (518) 235-3701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014350NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1710135728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HORIZON LN",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121821663",
            "telephone_number": "518-235-3701",
            "fax_number": "518-266-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 3RD ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804037",
            "telephone_number": "518-235-3701",
            "fax_number": "518-266-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENER",
        "first_name": "KATHLEEN",
        "middle_name": "MANUPELLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014350",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "014350",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "014350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.