Individual provider Active NPI

Kristen Leigh Piering, PSY.D.; M.S.ED.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1891056065
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
023022 Issued in NY
Practice address
276 5TH Ave RM 905
New York, NY 10001-4509
Phone
(631) 388-6375
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1147657171 NY
Clinical Psychologist 103TC0700X 023022 NY Primary

Addresses

Primary practice location

276 5TH Ave RM 905
New York, NY 10001-4509

Mailing address

365 Bond St Apt B412
Brooklyn, NY 11231-5168
Phone (313) 886-3756

Other practice location 1

535 8th Ave
2nd floor
New York, NY 10018-4305
Phone (212) 787-9700 ext. 357

Other identifiers 1

IdentifierTypeStateIssuer
16492OtherNYNYC SERVICE COORDINATION NUMBER

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

State licenses

LicenseStateTypeSpecialty
1147657171NYMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Ninos Early Childhood Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1891056065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BOND ST APT B412",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112315168",
            "telephone_number": "313-886-3756",
            "fax_number": "212-787-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 5TH AVE RM 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014509",
            "telephone_number": "631-388-6375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 8th Ave",
            "address_2": "2nd floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100184305",
            "country_code": "US",
            "telephone_number": "212-787-9700 x357",
            "fax_number": "212-787-4418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERING",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.; M.S.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1147657171",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYC SERVICE COORDINATION NUMBER",
            "identifier": "16492",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.