DR. KENNETH ALLEN BLANK PSY.D.
NPI 1083774780
Psychologist - Clinical in Huntington, NY
About Dr. Kenneth Allen Blank Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH ALLEN BLANK PSY.D. (NPI 1083774780) is an individual clinical provider in Huntington, New York, licensed in New York (013740) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kenneth Allen Blank Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11743 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNTINGTON, NY 11743
HUNTINGTON, NY 11743
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Blank's NPI number?
The NPI number for Kenneth Blank is 1083774780. It was assigned to this individual provider in the NPPES registry on December 11, 2006.
Where is Kenneth Blank located?
Kenneth Blank practices at 755 New York Ave Suite 200, Huntington, NY 11743. The listed phone number is (631) 385-1358.
What is Kenneth Blank's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kenneth Blank enrolled in Medicare?
Yes. Kenneth Blank is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kenneth Blank was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kenneth Allen Blank, PSY.D. · NPI 1083774780
Clinical provider in Huntington, New York. Individual provider, active in the CMS NPPES registry since December 11, 2006.
## Identity
- **NPI:** 1083774780 (Entity type: Individual)
- **Enumerated:** December 11, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 013740 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 755 NEW YORK AVE, SUITE 200, Huntington, NY 11743-4240
- **Phone:** (631) 385-1358
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified VJ4301 (NY); Medicaid 01938045 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1083774780) · Data from the CMS NPPES public registry.