DR. KAITLIN RAINES LILIENTHAL PHD
NPI 1710494620
Psychologist in Ithaca, NY

Active since January 02, 2018PECOS EnrolledAccepts Medicare Assignment
95.21/100
CMS Quality Rating

NPPES record last updated: January 2, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kaitlin Raines Lilienthal Phd NPPES

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

DR. KAITLIN RAINES LILIENTHAL PHD (NPI 1710494620) is an individual psychologist in Ithaca, New York, licensed in New York (021623-1) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1710494620
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KAITLIN RAINES LILIENTHALCredential: PHD
Location Address110 HO PLZIthaca, NY 14853-3102
Mailing Address215 Enfield Falls RdIthaca, NY 14850-8797
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 2, 2018
NPI 1710494620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 021623-1
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

110 HO PLZ, Ithaca, NY 14853

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kaitlin Raines Lilienthal Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42629230
PECOS Enrollment IDI20210428002645
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
59 services29 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
21 services14 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.69
Promoting Interoperability100
Improvement Activities40

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.

Licensed Practical Nurse
110 HO PLZ, GANNETT HEALTH SERVICES
ITHACA, NY 14853
Family Medicine (Adolescent Medicine)
110 HO PLZ
ITHACA, NY 14853
Preventive Medicine (Occupational Medicine)
110 HO PLZ
ITHACA, NY 14853
Registered Nurse
110 HO PLZ
ITHACA, NY 14853
Registered Nurse
110 HO PLZ
ITHACA, NY 14853
Registered Nurse
110 HO PLZ
ITHACA, NY 14853
Social Worker (Clinical)
110 HO PLZ
ITHACA, NY 14853
Psychologist (Counseling)
110 HO PLZ
ITHACA, NY 14853

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710494620, enumerated as an "individual" on January 02, 2018.

The provider is located at 110 HO PLZ ITHACA, NY 14853 and the phone number is (607) 255-5155.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.