KAHLIL CINQUE DUPERRY
NPI 1114506227
Psychologist in Bronx, NY

Active since April 06, 2021PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-6215 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kahlil Cinque Duperry NPPES

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

KAHLIL CINQUE DUPERRY (NPI 1114506227) is an individual psychologist in Bronx, New York, licensed in New York (025829) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114506227
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameKAHLIL CINQUE DUPERRY
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-6215
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 6, 2021
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
NPI 1114506227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 025829
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
111 E 210TH ST, Bronx, NY 10467

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kahlil Cinque Duperry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911354600
PECOS Enrollment IDI20231117001808
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Anesthesiology
111 E 210TH ST
BRONX, NY 10467

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 Kahlil Duperry's NPI number?

The NPI number for Kahlil Duperry is 1114506227. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Kahlil Duperry located?

Kahlil Duperry practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-6215.

What is Kahlil Duperry's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kahlil Duperry enrolled in Medicare?

Yes. Kahlil Duperry is registered in the Medicare PECOS enrollment system.

Is Kahlil Duperry affiliated with any hospitals?

According to CMS data, Kahlil Duperry is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Kahlil Duperry was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.