DR. KATHLEEN MCNULTY L.C.S.W., PHD
NPI 1770619066
Psychologist - Clinical in Midland Park, NJ

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment
24 GODWIN AVE, MIDLAND PARK, NJ 07432(201) 444-4010 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen Mcnulty L.c.s.w., Phd NPPES

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

DR. KATHLEEN MCNULTY L.C.S.W., PHD (NPI 1770619066) is an individual clinical provider in Midland Park, New Jersey, licensed in New Jersey (35S100513600) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1770619066
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATHLEEN MCNULTYCredential: L.C.S.W., PHD
Location Address24 GODWIN AVEMidland Park, NJ 07432-1927
Mailing Address453 Wildwood RdNorthvale, NJ 07647-1219
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMarch 4, 2021
NPPES CertifiedMarch 4, 2021
NPI 1770619066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NJ · 35S100513600
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 44SC00840400 (NJ)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
24 GODWIN AVE, Midland Park, NJ 07432

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. Kathleen Mcnulty L.c.s.w., 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 ID7012954563
PECOS Enrollment IDI20170601000928
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

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

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
493 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07432 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 12

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

Social Worker (Clinical)
24 GODWIN AVE, # B7
MIDLAND PARK, NJ 07432
Plastic Surgery
24 GODWIN AVE, SECOND FLOOR
MIDLAND PARK, NJ 07432
Social Worker (Clinical)
24 GODWIN AVE
MIDLAND PARK, NJ 07432
Clinic/Center (Podiatric)
24 GODWIN AVE, STE 102
MIDLAND PARK, NJ 07432
Social Worker (Clinical)
24 GODWIN AVE
MIDLAND PARK, NJ 07432
Speech-Language Pathologist
24 GODWIN AVE
MIDLAND PARK, NJ 07432
Social Worker (Clinical)
24 GODWIN AVE
MIDLAND PARK, NJ 07432
Specialist
24 GODWIN AVE
MIDLAND PARK, NJ 07432

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 Kathleen Mcnulty's NPI number?

The NPI number for Kathleen Mcnulty is 1770619066. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Kathleen Mcnulty located?

Kathleen Mcnulty practices at 24 Godwin Ave, Midland Park, NJ 07432. The listed phone number is (201) 444-4010.

What is Kathleen Mcnulty's specialty?

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

Is Kathleen Mcnulty enrolled in Medicare?

Yes. Kathleen Mcnulty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Mcnulty was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.