Active NPI
Kensha C Casimir
- Specialist
- Westbury, NY
National Provider Identifier
1750006607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2578730
- Practice address
- Family of Kidz 1400 Old Country Road Suite C 103N
Westbury, NY 11590 - Phone
- (516) 806-6969
- NPI assigned
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2578730 | NY | Primary |
Addresses
Primary practice location
Family of Kidz 1400 Old Country Road Suite C 103N
Westbury, NY 11590
Mailing address
588 Vandalia Ave FL 1
Brooklyn, NY 11239-2813
Phone (347) 591-8628
Other practice location 1
Family of Kidz
1400 Old Country Road, Suite C103N
Westbury, NY 11590
Phone (516) 806-6969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2578730 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Psychological Services PLLC | Past | Accepting new patients | |
| Family of Kidz | Specialist | Past | 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 and National Provider Directory roles.
-
- Specialist
- Westbury, NY
- NPI 1760313282
-
- Clinical Psychologist
- Garden City, NY
- NPI 1487326716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1750006607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 VANDALIA AVE FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112392813",
"telephone_number": "347-591-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAMILY OF KIDZ 1400 OLD COUNTRY ROAD SUITE C 103N",
"city": "WESTBURY",
"state": "NY",
"postal_code": "11590",
"telephone_number": "516-806-6969"
}
],
"practiceLocations": [
{
"address_1": "Family of Kidz",
"address_2": "1400 Old Country Road, Suite C103N",
"address_purpose": "LOCATION",
"city": "Westbury",
"state": "NY",
"postal_code": "11590",
"country_code": "US",
"telephone_number": "516-806-6969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASIMIR",
"first_name": "KENSHA",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2578730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.