DR. LISA KENTGEN PH.D.
NPI 1235209958
Psychologist in New York, NY

Active since November 09, 2006Opted out of Medicare · through Apr 1, 2027
80 8TH AVE, SUITE 709, NEW YORK, NY 10011(212) 727-2792 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Kentgen Ph.d. NPPES

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

DR. LISA KENTGEN PH.D. (NPI 1235209958) is an individual psychologist in New York, New York, licensed in New York (012576) and active in the NPI registry since November 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235209958
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA KENTGENCredential: PH.D.
Location Address80 8TH AVE, SUITE 709New York, NY 10011-5126
Mailing Address80 8th Ave, Suite 709New York, NY 10011-5126 · (212) 727-2792
Sole ProprietorYes
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1235209958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 012576
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.
80 8TH AVE, New York, NY 10011

Other Identifiers 1

Medicare ID-Type UnspecifiedV02221NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Lisa Kentgen Ph.d. 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 April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-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.

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.

Acupuncturist
80 8TH AVE, SUITE 1304
NEW YORK, NY 10011
Audiologist
80 8TH AVE
NEW YORK, NY 10011
Speech-Language Pathologist
80 8TH AVE, SUITE 1301
NEW YORK, NY 10011
Acupuncturist
80 8TH AVE, SUITE 1304
NEW YORK, NY 10011
Social Worker (Clinical)
80 8TH AVE, SUITE 709
NEW YORK, NY 10011
Psychiatry & Neurology (Child & Adolescent Psychiatry)
80 8TH AVE, SUITE 1101
NEW YORK, NY 10011
Counselor (Mental Health)
80 8TH AVE, SUITE 315
NEW YORK, NY 10011
Psychologist (Clinical)
80 8TH AVE, SUITE 1101
NEW YORK, NY 10011

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 Lisa Kentgen's NPI number?

The NPI number for Lisa Kentgen is 1235209958. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Lisa Kentgen located?

Lisa Kentgen practices at 80 8th Ave Suite 709, New York, NY 10011. The listed phone number is (212) 727-2792.

What is Lisa Kentgen's specialty?

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

Is Lisa Kentgen enrolled in Medicare?

No. Lisa Kentgen has opted out of Medicare through April 1, 2027. 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.

When was this NPI record last updated?

The NPPES record for Lisa Kentgen 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.