Kathleen Lorraine Tully, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019628 Issued in NY

Practice address

345 E 102ND St Ste 215
New York, NY 10029-5615

Phone

(888) 702-0630

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1851119770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 94TH ST APT 5FE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 102ND ST STE 215",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295615",
            "telephone_number": "888-702-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "KATHLEEN",
        "middle_name": "LORRAINE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Tullis, MFT
• Amanda Tulloch
• Courtney Tullock, LMSW
• Anya Marie Tully, DPT
• Jean Tully, LMHC
• Nicholas William Tully
• Lucette Tulp
• Maria Tulpan, MD
• Asmin Tulpule, MD, PHD
• Robert Francis Cayetano Tumang, PTRP, PT, MPH, CVKTP

• Clinical Psychologist in New York, NY
• Providers in New York, 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 Oct 8, 2024; 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.