Alan Klat, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

004050 Issued in NY

Practice address

Far Rockaway Nursing Home
13-11 Virginia St.
Far Rockaway, NY 11691

Phone

(718) 327-2909

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Networks

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

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.

• Baldwin Psychological Consultants, LLP

  • Group Psychotherapy Psychologist
  • Far Rockaway, NY
  • NPI 1801826557

  Clinical

  NPD (past) Authorized official
• Psychology Practice

  • Adult Mental Health Clinic/Center
  • Baldwin, NY
  • NPI 1356700066
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942237433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VANDERBILT DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201117",
            "telephone_number": "516-868-3421",
            "fax_number": "516-623-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAR ROCKAWAY NURSING HOME",
            "address_2": "13-11 VIRGINIA ST.",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-327-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAT",
        "first_name": "ALAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "004050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00391286",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID #",
            "identifier": "35059 16H",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rondalie King-Clarke, CNA
• Lisa Kirkland
• Arana Duggivati Kissoon
• Shira Klahr, LMSW
• Rochel Leah Klainberg, M.S., SP ED. TSHH
• Shelby Klaus
• Michael Klausner, MS
• Adina Klein, SLP
• Miriam Klein
• Sara Klein, PA-C

• Clinical Psychologist in Far Rockaway, NY
• Providers in Far Rockaway, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.