KSD Family Solutions, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KSD FAMILY SOLUTIONS, LLC

Practice address

2174 Hewlett Ave Ste 107a
Merrick, NY 11566-3612

Phone

(516) 375-3645

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Sullivan Dennis, PHD

Title

President

Phone

(516) 375-3645

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1922567866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 WILLOUGHBY AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117934129",
            "telephone_number": "516-375-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 HEWLETT AVE STE 107A",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663612",
            "telephone_number": "516-375-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSD FAMILY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "SULLIVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-375-3645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ksdfamilysolutions.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Secured Client Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Document Share",
            "address_1": "2174 Hewlett Ave Ste 107A",
            "city": "Merrick",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115663612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dale Lane Kranz, P.T.
• Karen Kranz
• Brittany Nicole Kravat, LMHC, LPC
• Yanina Krayevsky, D.D.S.
• Cathy C Kreuscher, LCSW
• Roslyn Kushner, M.S., CCC
• Sandra Kuttner, DDS
• Geralyn La Vecchia, RD, CD/N
• Jasmine Lachman, PHARMD
• Rosa Nicole Lacorte, OTR/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Merrick, NY
• Providers in Merrick, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.