DR. KENNETH ROBERT KIRSHBAUM PH.D.
NPI 1639213010
Psychologist - Clinical in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

Active since February 17, 2007Opted out of Medicare · through Mar 23, 2027

350 CENTRAL PARK W, SUITE 1B, NEW YORK, NY 10025(212) 662-9387(212) 662-9387 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Kenneth Robert Kirshbaum Ph.d. NPPES

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

DR. KENNETH ROBERT KIRSHBAUM PH.D. (NPI 1639213010) is an individual clinical provider in New York, New York, licensed in New York (8216) and active in the NPI registry since February 2007. He has opted out of Medicare through March 23, 2027.

NPPES Registry Identity

NPI1639213010

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KENNETH ROBERT KIRSHBAUMCredential: PH.D.

Location Address350 CENTRAL PARK W, SUITE 1BNew York, NY 10025-6547

Mailing Address350 Central Park W, Suite 1bNew York, NY 10025-6547 · (212) 662-9387 · Fax (212) 662-9387

Phone(212) 662-9387

Fax(212) 662-9387

Sole ProprietorYes

Enumeration DateFebruary 17, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639213010 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 · 8216

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.

350 CENTRAL PARK W, New York, NY 10025

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kenneth Robert Kirshbaum 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 March 23, 2023 through March 23, 2027.

Opt-Out Effective DateMarch 23, 2023

Opt-Out In Effect ThroughMarch 23, 2027Opt-out affidavits renew automatically every two years unless cancelled