Jonathan Kogen, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

003552 Issued in NY

Practice address

280 Broadway
Newburgh, NY 12550-5408

Phone

(914) 419-0088

Fax

(917) 677-7131

NPI assigned

May 1, 2013

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

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, 1968

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1952746166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505408",
            "telephone_number": "914-419-0088",
            "fax_number": "917-677-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505408",
            "telephone_number": "914-419-0088",
            "fax_number": "917-677-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGEN",
        "first_name": "JONATHAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "003552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Smith Kline, RN, MS
• Sergei Klokov, M.D.
• Christine Knopp
• Prabhakar Kocherlakota, MD
• Praveen Kumar Kodakandla
• Robin Mazal Konitz, RN
• Jacqueline Alice Konkol, R.PH
• Larry Koreen, MD, PHD, MPH
• Michael Nicholas Koumas, D.D.S.
• Stephanie Marie Kramer, PA-C

• Psychologist in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.