Richard S. Kestenbaum, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4447 Issued in NY

Practice address

142 W End Ave
Apt. 19N
New York, NY 10023-6103

Phone

(212) 799-6373

NPI assigned

May 6, 2007

Last updated

Feb 13, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 7, 2017 through Nov 7, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1861604266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W END AVE",
            "address_2": "APT. 19N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236103",
            "telephone_number": "212-799-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W END AVE",
            "address_2": "APT. 19N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236103",
            "telephone_number": "212-799-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTENBAUM",
        "first_name": "RICHARD",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "4447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarice Joan Kestenbaum, MD
• Elizabeth Kestenbaum, RD, CDN
• Erica Kestenbaum, PSYD
• Linda Kestenbaum, PH.D.
• Michael Kestenbaum, PHD
• Samantha Kestenbaum
• Drew Kesterman
• Rebecca Kesting, PT, DPT
• Shaziya Keswani, M.S.
• Ketafuze Psychiatric Services PC

• 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 Feb 13, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.