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DR. KATHRYN JEAN DEROSS PSY.D.
NPI 1083952089
Psychologist - Clinical in Amityville, NY

Active since January 25, 2013
77 BROADWAY, AMITYVILLE, NY 11701(585) 750-9921 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 26, 2017 (2 updates tracked since 2017).

About Dr. Kathryn Jean Deross Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHRYN JEAN DEROSS PSY.D. (NPI 1083952089) is an individual clinical provider in Amityville, New York, licensed in New York (019956) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1083952089
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATHRYN JEAN DEROSSCredential: PSY.D.
Location Address77 BROADWAYAmityville, NY 11701-2785
Mailing Address77 BroadwayAmityville, NY 11701 · (516) 308-6075
Phone(585) 750-9921
Sole ProprietorNo
Enumeration DateJanuary 25, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1083952089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 019956
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
77 BROADWAY, Amityville, NY 11701
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALLY THOMAS I
Social Worker (Clinical)
77 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (631) 691-5011
KACEY FARBER LMSW
Social Worker
77 BROADWAY, SUITE 7
AMITYVILLE, NY 11701
Suffolk County (631) 691-5011
MRS. SANDRA LAFAZAN LMSW
Social Worker
77 BROADWAY, SUITE #7
AMITYVILLE, NY 11701
Suffolk County (631) 691-5011
AMITYVILLE PODIATRY ASSOCIATES PC
Podiatrist
77 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (631) 691-6060
JOHN M RUDDY, D.C., PLLC
Chiropractor
77 BROADWAY, SUITE 6
AMITYVILLE, NY 11701
Suffolk County (631) 608-0522
JEANETTE MARIA JOYNER LCSW-R
Social Worker (Clinical)
77 BROADWAY, SUITE7
AMITYVILLE, NY 11701
Suffolk County (212) 920-1222
REXHEP RIZANI MHC-LP
Counselor (Mental Health)
77 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (516) 584-4030

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 Kathryn Deross's NPI number?

The NPI number for Kathryn Deross is 1083952089. It was assigned to this individual provider in the NPPES registry on January 25, 2013.

Where is Kathryn Deross located?

Kathryn Deross practices at 77 Broadway, Amityville, NY 11701. The listed phone number is (585) 750-9921.

What is Kathryn Deross's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kathryn Deross was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.