KRISTA L GWON PH.D.
NPI 1366598914
Psychologist in New York, NY

Active since January 26, 2007PECOS Enrolled
3959 BROADWAY, NEW YORK, NY 10032(617) 312-5257 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Krista L Gwon Ph.d. NPPES

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

KRISTA L GWON PH.D. (NPI 1366598914) is an individual psychologist in New York, New York, licensed in New York (018208) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366598914
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKRISTA L GWONCredential: PH.D.
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address500 W 56th St, Apt 1802New York, NY 10019-3583 · (617) 312-5257
Sole ProprietorYes
Enumeration DateJanuary 26, 2007
Last NPPES UpdateMay 1, 2014
NPI 1366598914 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 · 018208
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.
3959 BROADWAY, New York, NY 10032

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Krista L Gwon Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

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 Krista Gwon's NPI number?

The NPI number for Krista Gwon is 1366598914. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Krista Gwon located?

Krista Gwon practices at 3959 Broadway, New York, NY 10032. The listed phone number is (617) 312-5257.

What is Krista Gwon's specialty?

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

Is Krista Gwon enrolled in Medicare?

Yes. Krista Gwon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Krista Gwon was last updated on May 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.