DR. KENNETH CHARLES SPITALNY MD
NPI 1891878997
Psychiatry & Neurology - Child & Adolescent Psychiatry in Elmhurst, NY

Q: What is Kenneth Spitalny's NPI number?

The NPI number for Kenneth Spitalny is 1891878997. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Kenneth Spitalny's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Spitalny 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.

Active since October 23, 2006PECOS Enrolled

80TH ST & 41ST AVE, ELMHURST, NY 11373(718) 334-3900(718) 334-5958 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kenneth Charles Spitalny Md NPPES

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

DR. KENNETH CHARLES SPITALNY MD (NPI 1891878997) is an individual child & adolescent psychiatry provider in Elmhurst, New York, licensed in New York (158306) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891878997

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. KENNETH CHARLES SPITALNYCredential: MD

Location Address80TH ST & 41ST AVEElmhurst, NY 11373-1329

Mailing Address7901 Broadway, Managed Care, D1-01Elmhurst, NY 11373-1329 · (718) 334-1921 · Fax (718) 334-3432

Phone(718) 334-3900

Fax(718) 334-5958

Sole ProprietorNo

Enumeration DateOctober 23, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1891878997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NY · 158306

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

80TH ST & 41ST AVE, Elmhurst, NY 11373

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Other Identifiers 2

Medicaid00246075NY

Medicare ID-Type Unspecified0033S128NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Charles Spitalny Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

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