Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DMITRIY KAZAKOV PHD
NPI 1336804541
Psychologist - Clinical in Port Chester, NY

Active since November 02, 2021PECOS Enrolled
10 PEARL ST FL 2, PORT CHESTER, NY 10573(914) 265-2762 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2026, Aug 1, 2024, Nov 2, 2021 (3 updates tracked since 2021).

About Dmitriy Kazakov Phd NPPES

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

DMITRIY KAZAKOV PHD (NPI 1336804541) is an individual clinical provider in Port Chester, New York, licensed in New York (2997224) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cheshire, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336804541
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDMITRIY KAZAKOVCredential: PHD
Location Address10 PEARL ST FL 2Port Chester, NY 10573-4611
Mailing Address10 Pearl St Fl 2Port Chester, NY 10573-4611
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 2, 2021
Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1336804541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in NY · 2997224 Licensed in CT · 4127
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.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 2997224 (NY), 4127 (CT)
10 PEARL ST FL 2, Port Chester, NY 10573

Secondary Practice Location 1

Location 1609 W Johnson Ave Ste 104Cheshire, CT 06410-4506 · Phone (203) 272-6007 · Fax (203) 272-8895

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

Dmitriy Kazakov Phd 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.

PECOS PAC ID1759774185
PECOS Enrollment IDI20241212001358
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.

Areas of Expertise CMS Part B claims 5

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.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
192 services41 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
145 services32 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
56 services41 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
32 services32 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10573 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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 16

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

Counselor (Mental Health)
10 PEARL ST FL 2
PORT CHESTER, NY 10573
Social Worker
10 PEARL ST FL 2
PORT CHESTER, NY 10573
Psychologist (Clinical)
10 PEARL ST FL 2
PORT CHESTER, NY 10573
Psychologist (Clinical)
10 PEARL ST FL 2
PORT CHESTER, NY 10573
Social Worker
10 PEARL ST FL 2
PORT CHESTER, NY 10573
Nurse Practitioner (Psychiatric/Mental Health)
10 PEARL ST FL 2
PORT CHESTER, NY 10573
Social Worker
10 PEARL ST FL 2
PORT CHESTER, NY 10573
Social Worker (Clinical)
10 PEARL ST FL 2
PORT CHESTER, NY 10573

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 Dmitriy Kazakov's NPI number?

The NPI number for Dmitriy Kazakov is 1336804541. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Dmitriy Kazakov located?

Dmitriy Kazakov practices at 10 Pearl St Fl 2, Port Chester, NY 10573. The listed phone number is (914) 265-2762.

What is Dmitriy Kazakov's specialty?

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

Is Dmitriy Kazakov enrolled in Medicare?

Yes. Dmitriy Kazakov 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 Dmitriy Kazakov was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.