James M Koelln, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

009865 Issued in NY

Practice address

8509 151St Ave
Suite LM
Howard Beach, NY 11414-1301

Phone

(718) 740-2067

Fax

(718) 776-9806

NPI assigned

May 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Dr. Rimma Danov Neuropsychologist, PC

  • Clinical Neuropsychologist
  • Staten Island, NY
  • NPI 1275559981
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851592216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 151ST AVE",
            "address_2": "SUITE LM",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141301",
            "telephone_number": "718-740-2067",
            "fax_number": "718-776-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8509 151ST AVE",
            "address_2": "SUITE LM",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141301",
            "telephone_number": "718-740-2067",
            "fax_number": "718-776-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELLN",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02145366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna S Kirell, D.P.M.
• Channon Klein Giller, M.S., CCC-SLP
• Faye Rochelle Klier, M.S. CCC-SLP
• Olivia Knief
• Theresa Kochenash, OTR/L
• Michelle Komlo, PHARMD.
• Shevi Koschitzki
• Jay R. Kripalani, MD
• Kurilenko Management
• Yakov Kurilenko, DDS

• Clinical Psychologist in Howard Beach, NY
• Providers in Howard Beach, 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 Jul 9, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.