OTTO KERNBERG MD
NPI 1104913284
Psychiatry & Neurology - Psychiatry in White Plains, NY

Q: What is Otto Kernberg's NPI number?

The NPI number for Otto Kernberg is 1104913284. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Q: What is Otto Kernberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Otto Kernberg enrolled in Medicare?

No. Otto Kernberg has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Otto Kernberg was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 09, 2006Opted out of Medicare · through Jan 1, 2028

21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605(914) 997-5714(212) 746-3687 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Otto Kernberg Md NPPES

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

OTTO KERNBERG MD (NPI 1104913284) is an individual psychiatry provider in White Plains, New York, licensed in New York (117254) and active in the NPI registry since October 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104913284

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameOTTO KERNBERGCredential: MD

Location Address21 BLOOMINGDALE RDWhite Plains, NY 10605-1504

Mailing Address21 Bloomingdale RdWhite Plains, NY 10605-1504 · (212) 746-0373 · Fax (212) 746-7481

Phone(914) 997-5714

Fax(212) 746-3687

Sole ProprietorNo

Enumeration DateOctober 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104913284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 117254

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

21 BLOOMINGDALE RD, White Plains, NY 10605

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Other Identifiers 1

Medicare UPINB12671NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Otto Kernberg Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. STEVEN DAVID ROTH M.D.

Psychiatry & Neurology (Psychiatry)