STEPHANIE DOUGHTY KILGANNON
NPI 1669139085
Counselor - Mental Health in Massapequa, NY

Active since November 19, 2021
54 CHERRY ST, MASSAPEQUA, NY 11758(718) 791-7487 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie Doughty Kilgannon NPPES

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

STEPHANIE DOUGHTY KILGANNON (NPI 1669139085) is an individual mental health provider in Massapequa, New York and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1669139085
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE DOUGHTY KILGANNON
Location Address54 CHERRY STMassapequa, NY 11758-5117
Mailing Address54 Cherry StMassapequa, NY 11758-5117 · (718) 791-7487
Sole ProprietorYes
Enumeration DateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
NPI 1669139085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · SchoolTaxonomy 101YS0200X
54 CHERRY ST, Massapequa, NY 11758

Other Names 1

Former Name (1)Stephanie Doughty

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 Stephanie Kilgannon's NPI number?

The NPI number for Stephanie Kilgannon is 1669139085. It was assigned to this individual provider in the NPPES registry on November 19, 2021. The provider is also known as Stephanie Doughty.

Where is Stephanie Kilgannon located?

Stephanie Kilgannon practices at 54 Cherry St, Massapequa, NY 11758. The listed phone number is (718) 791-7487.

What is Stephanie Kilgannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stephanie Kilgannon was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.