DR. KERRY M CANNITY PHD
NPI 1861827818
Psychologist - Clinical in New York, NY

Active since September 10, 2013PECOS EnrolledAccepts Medicare Assignment
3 TIMES SQ FL 10, NEW YORK, NY 10036(646) 537-6763 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2024, Jul 21, 2022, Sep 20, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Kerry M Cannity Phd NPPES

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

DR. KERRY M CANNITY PHD (NPI 1861827818) is an individual clinical provider in New York, New York, licensed in New York (022849) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2016).

NPPES Registry Identity

NPI1861827818
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KERRY M CANNITYCredential: PHD
Location Address3 TIMES SQ FL 10New York, NY 10036-6564
Mailing Address155 E 99th St Apt 3New York, NY 10029-6772 · (919) 601-7841
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2016
Enumeration DateSeptember 10, 2013
Last NPPES UpdateJanuary 9, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1861827818 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 · 022849
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.
3 TIMES SQ FL 10, New York, NY 10036

Secondary Practice Locations 2

Location 1873 BroadwayNew York, NY 10003-1231 · Phone (212) 686-0066
Location 219 Bradhurst Ave Ste 800SHawthorne, NY 10532-2140 · Phone (914) 614-4270 · Fax (914) 614-4271

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kerry M Cannity 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 ID9638518251
PECOS Enrollment IDI20240416001787
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.

Medicare Billing Reassignment

Medicare enrollment records show Kerry Cannity reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10036 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 2

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

Student in an Organized Health Care Education/Training Program
3 TIMES SQ FL 10
NEW YORK, NY 10036
Physician Assistant
3 TIMES SQ FL 10
NEW YORK, NY 10036

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 Kerry Cannity's NPI number?

The NPI number for Kerry Cannity is 1861827818. It was assigned to this individual provider in the NPPES registry on September 10, 2013.

Where is Kerry Cannity located?

Kerry Cannity practices at 3 Times Sq Fl 10, New York, NY 10036. The listed phone number is (646) 537-6763.

What is Kerry Cannity's specialty?

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

Is Kerry Cannity enrolled in Medicare?

Yes. Kerry Cannity 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.

Which organization bills Medicare for Kerry Cannity's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Cannity reassigns Medicare benefits to Boston Children's Health Physicians, LLP (Hawthorne, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerry Cannity's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kerry Cannity was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.