Active NPI
Kenneth Winarick PH.D.P.C.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1992112429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005195
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VS0471 | Other | NY | MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- New York, NY
- NPI 1760539498
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.