DR. EILEEN PATRICIA KAVANAGH MD, MPA
NPI 1407989924
Psychiatry & Neurology - Psychiatry in New York, NY

Active since March 13, 2007Opted out of Medicare · through Nov 5, 2027
177 FORT WASHINGTON AVE, NINE GARDEN NORTH, NEW YORK, NY 10032(212) 305-6063 Get Directions Write a Review

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

About Dr. Eileen Patricia Kavanagh Md, Mpa NPPES

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

DR. EILEEN PATRICIA KAVANAGH MD, MPA (NPI 1407989924) is an individual psychiatry provider in New York, New York, licensed in New York (233632) and active in the NPI registry since March 2007. She has opted out of Medicare through November 5, 2027.

NPPES Registry Identity

NPI1407989924
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. EILEEN PATRICIA KAVANAGHCredential: MD, MPA
Location Address177 FORT WASHINGTON AVE, NINE GARDEN NORTHNew York, NY 10032-3733
Mailing Address404 Riverside Dr # 2cNew York, NY 10025-1861 · (212) 316-6650
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1407989924 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 · 233632
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.

177 FORT WASHINGTON AVE, New York, NY 10032

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. Eileen Patricia Kavanagh Md, Mpa 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 November 5, 2021 through November 5, 2027.

Opt-Out Effective DateNovember 5, 2021
Opt-Out In Effect ThroughNovember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Physical Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Nurse Practitioner (Family)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Occupational Therapist
177 FORT WASHINGTON AVE, 8 GARDEN NORTH
NEW YORK, NY 10032
Occupational Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Surgery (Surgical Critical Care)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FORT WASHINGTON AVE, INTERNAL MEDICINE RESIDENCY OFFICE, FLOOR 6, CENTER 12
NEW YORK, NY 10032
Physician Assistant
177 FORT WASHINGTON AVE
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 Eileen Kavanagh's NPI number?

The NPI number for Eileen Kavanagh is 1407989924. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Eileen Kavanagh located?

Eileen Kavanagh practices at 177 Fort Washington Ave Nine Garden North, New York, NY 10032. The listed phone number is (212) 305-6063.

What is Eileen Kavanagh's specialty?

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

Is Eileen Kavanagh enrolled in Medicare?

No. Eileen Kavanagh has opted out of Medicare through November 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

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