Kenneth R Herbert, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018109 Issued in NY

Practice address

100 S Main St
Suite 208
Sayville, NY 11782-3100

Phone

(631) 627-5969

NPI assigned

May 29, 2009

Last updated

Dec 28, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1982839395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 208",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "address_2": "SUITE 208",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823100",
            "telephone_number": "631-627-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Kay Hamilton, MHC-LP
• Harrison Grimm
• Meghan Luise Hart, OTR/L
• Sarah Hartmann
• Gabrielle Herard, FNP
• Kimberly Hession, LCSW
• Edward Thomas Hilinski, RPH
• Howard Hinestroza, MD
• Sythia Hinze
• Jeanne Hunter, RN

• Clinical Psychologist in Sayville, NY
• Providers in Sayville, 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 Dec 28, 2023; 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.