Active NPI
Vincent Paul Kiefner, PH.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1790928174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 017584
- Practice address
- 10 Plaza St E
1C
Brooklyn, NY 11238-4954 - Phone
- (347) 385-0616
- NPI assigned
- Apr 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 017584 | NY | Primary |
Addresses
Primary practice location
10 Plaza St E
1C
Brooklyn, NY 11238-4954
Mailing address
10 Plaza St E
1C
Brooklyn, NY 11238-4954
Phone (347) 385-0616
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017584 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239667200000",
"number": "1790928174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PLAZA ST E",
"address_2": "1C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112384954",
"telephone_number": "347-385-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PLAZA ST E",
"address_2": "1C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112384954",
"telephone_number": "347-385-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFNER",
"first_name": "VINCENT",
"middle_name": "PAUL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-14",
"last_updated": "2009-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "017584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.