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

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: August 23, 2026.

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
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

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. 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

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.

Speech-Language Pathologist
350 CENTRAL PARK W, 1Q
NEW YORK, NY 10025
Psychologist (Clinical)
350 CENTRAL PARK W, 15E
NEW YORK, NY 10025
Psychologist (Clinical)
350 CENTRAL PARK W, 13E
NEW YORK, NY 10025
Psychologist
350 CENTRAL PARK W, SUITE 1F
NEW YORK, NY 10025
Counselor (Mental Health)
350 CENTRAL PARK W, SUITE 1F
NEW YORK, NY 10025
Social Worker (Clinical)
350 CENTRAL PARK W
NEW YORK, NY 10025
Community/Behavioral Health
350 CENTRAL PARK W, SUITE 1A
NEW YORK, NY 10025
Social Worker (Clinical)
350 CENTRAL PARK W, SUITE 1B
NEW YORK, NY 10025

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 Kenneth Kirshbaum's NPI number?

The NPI number for Kenneth Kirshbaum is 1639213010. It was assigned to this individual provider in the NPPES registry on February 17, 2007.

Where is Kenneth Kirshbaum located?

Kenneth Kirshbaum practices at 350 Central Park W Suite 1B, New York, NY 10025. The listed phone number is (212) 662-9387.

What is Kenneth Kirshbaum's specialty?

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

Is Kenneth Kirshbaum enrolled in Medicare?

No. Kenneth Kirshbaum has opted out of Medicare through March 23, 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 Kenneth Kirshbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.