Organization Active NPI

Kristine Theodora Kingsley

  • Clinical Psychologist
  • New Rochelle, NY
National Provider Identifier
1720609472
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KRISTINE THEODORA KINGSLEY
Doing business as
Institute of Cognitive and Emotional Wellness
Practice address
173 Huguenot St Ste 200
New Rochelle, NY 10801-7710
Phone
(917) 716-6995
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Ms. Kristine Theodora Kingsley, PSY.D.
Title
Owner
Phone
(917) 716-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

173 Huguenot St Ste 200
New Rochelle, NY 10801-7710

Mailing address

173 Huguenot St Ste 200
New Rochelle, NY 10801-7710
Phone (917) 716-6995

Other names 1

  • Institute of Cognitive and Emotional Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1720609472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 HUGUENOT ST STE 200",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017710",
            "telephone_number": "917-716-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 HUGUENOT ST STE 200",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017710",
            "telephone_number": "917-716-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE THEODORA KINGSLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "THEODORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-716-6995",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute of Cognitive and Emotional Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.