Kathryn Traub, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024400 Issued in NY

Practice address

200 S Service Rd Ste 109
Roslyn Heights, NY 11577-2133

Phone

(516) 644-0068

NPI assigned

Dec 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• New York Foundling

  • Adolescent and Children Mental Health Clinic/Center
  • New York, NY
  • NPI 1649442229
  NPD

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1841435815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S SERVICE RD STE 109",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772133",
            "telephone_number": "516-644-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SERVICE RD STE 109",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772133",
            "telephone_number": "516-644-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Avenue Of The Americas Fl 14",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100112022",
            "country_code": "US",
            "telephone_number": "917-363-2671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAUB",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "024400",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00336943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Tiberia, RN
• Tiny Triumphs LLC
• Walter Tozzi, RPH
• Amanda Tramutola, D.O.
• Howard Lee Traub, PSY.D.
• Twin Dragon Consulting Service,Inc
• Gillian Rose Uhl, LICENSED CLINICAL SO
• Urology & Pelvic Health, PLLC
• Jayne Varghese, CCC-SLP
• Suja Mary Varughese, PHARMD

• Clinical Psychologist in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.