Organization Active NPI

Kenneth Winarick PH.D.P.C.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1992112429
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005195 Issued in NY
Legal business name
KENNETH WINARICK PH.D.P.C.
Practice address
125 E 74TH St
New York, NY 10021-3217
Phone
(917) 369-1721
NPI assigned
Jul 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Dr. Kenneth Bard Winarick, PH.D.NPI 1760539498
Title
President
Phone
(917) 369-1721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 005195 NY Primary

Addresses

Primary practice location

125 E 74TH St
New York, NY 10021-3217

Mailing address

125 E 74TH St
New York, NY 10021-3217
Phone (917) 369-1721

Other identifiers 1

IdentifierTypeStateIssuer
VS0471OtherNYMEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1992112429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213217",
            "telephone_number": "917-369-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213217",
            "telephone_number": "917-369-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH WINARICK PH.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "WINARICK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-369-1721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "005195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VS0471",
            "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 Jul 16, 2014; 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.