Active NPI
Eileen Jo Kaloudis, PSY.D.
- Psychologist
- New York, NY
National Provider Identifier
1992921670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 010035-1
- Practice address
- 140 E 83Rd St
Suite 15a
New York, NY 10028-1924 - Phone
- (212) 288-5071
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 010035-1 | NY | Primary |
Addresses
Primary practice location
140 E 83Rd St
Suite 15a
New York, NY 10028-1924
Mailing address
140 E 83Rd St
Suite 15a
New York, NY 10028-1924
Phone (212) 288-5071
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180206001894 | NY | Practitioner - Clinical Psychologist | 6305106618 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
140 E 83Rd St
Apt 15a
New York, NY 10028-1929
Phone (212) 288-5071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010035-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992921670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 E 83RD ST",
"address_2": "SUITE 15A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281924",
"telephone_number": "212-288-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E 83RD ST",
"address_2": "SUITE 15A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281924",
"telephone_number": "212-288-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALOUDIS",
"first_name": "EILEEN",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010035-1",
"primary": true
}
],
"identifiers": [],
"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 8, 2007; 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.