KELLY JEAN RHATIGAN PSY.D.
NPI 1487644266
Psychologist - Clinical in Baldwin, NY

Q: What is Kelly Rhatigan's NPI number?

The NPI number for Kelly Rhatigan is 1487644266. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Q: What is Kelly Rhatigan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Rhatigan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 24, 2005PECOS Enrolled

2277 GRAND AVE, BALDWIN, NY 11510(516) 546-6924(516) 546-9639 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kelly Jean Rhatigan Psy.d. NPPES

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

KELLY JEAN RHATIGAN PSY.D. (NPI 1487644266) is an individual clinical provider in Baldwin, New York, licensed in New York (0156081) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487644266

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKELLY JEAN RHATIGANCredential: PSY.D.

Location Address2277 GRAND AVEBaldwin, NY 11510-3148

Mailing Address1063 Thomas AveBaldwin, NY 11510-4134 · (516) 771-2106

Phone(516) 546-6924

Fax(516) 546-9639

Sole ProprietorNo

Enumeration DateOctober 24, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1487644266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 0156081

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.

2277 GRAND AVE, Baldwin, NY 11510

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jean Rhatigan Psy.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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Rhatigan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Nassau Communities Hospital

1.2 mi

Cardiovascular Disease

ONE HEALTHY WAY, ATTN: PHYSICIAN BILLING
Oceanside, NY 11572

Reassigned Medicare billing, New York enrollment
22 clinicians in this Medicare group

NPI 1073594800 (516) 255-1616

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11510 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 20

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

MRS. KAREN ELIZABETH ZIMMERMAN LMSW

Social Worker (Clinical)