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DR. MICHELLE LORRANINE KORNBLEUTH PH.D.
NPI 1902963226
Psychologist - Clinical in New York, NY

Active since January 03, 2007Opted out of Medicare · through Jun 26, 2027
1430 2ND AVE, SUITE 103, NEW YORK, NY 10021(212) 434-2534(212) 717-5691 Get Directions Write a Review

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

About Dr. Michelle Lorranine Kornbleuth Ph.d. NPPES

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

DR. MICHELLE LORRANINE KORNBLEUTH PH.D. (NPI 1902963226) is an individual clinical provider in New York, New York, licensed in New York (014055-1) and active in the NPI registry since January 2007. She has opted out of Medicare through June 26, 2027.

NPPES Registry Identity

NPI1902963226
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHELLE LORRANINE KORNBLEUTHCredential: PH.D.
Location Address1430 2ND AVE, SUITE 103New York, NY 10021-3313
Mailing Address1430 2nd Ave, Suite 103New York, NY 10021-3313 · (212) 434-2534 · Fax (212) 717-5691
Phone(212) 434-2534
Fax(212) 717-5691
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902963226 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 · 014055-1
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.
1430 2ND AVE, New York, NY 10021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michelle Lorranine Kornbleuth Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 26, 2023 through June 26, 2027.

Opt-Out Effective DateJune 26, 2023
Opt-Out In Effect ThroughJune 26, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

PEDIATRIC HEAD AND NECK ASSOCIATES, PC
Specialist
1430 2ND AVE, STE 110
NEW YORK, NY 10021
New York County (212) 979-4200
DR. LINDA WEINGARTEN SCHEFFLER PH.D.
Psychologist
1430 2ND AVE, STE 109
NEW YORK, NY 10021
New York County (212) 744-3321
DR. SANDRA ODALIA SAMANIEGO PH.D.
Psychologist
1430 2ND AVE, SUITE 103
NEW YORK, NY 10021
New York County (212) 434-3364
MICHELE DEE SHACKELFORD PH.D.
Clinical Neuropsychologist
1430 2ND AVE, SUITE 103
NEW YORK, NY 10021
New York County (212) 434-4594
DR. LAURA ANNE LEWIS MANTELL M.D.
Anesthesiology
1430 2ND AVE, SUITE 102
NEW YORK, NY 10021
New York County (212) 734-2902
DR. AMANDA NELSON MANDEL PSY.D.
Psychologist
1430 2ND AVE, SUITE 103
NEW YORK, NY 10021
New York County (212) 434-6562
MELISSA SUSAN PASHCOW MD
Ophthalmology
1430 2ND AVE, SUITE 108
NEW YORK, NY 10021
New York County (212) 737-0220
ANAT ZELMANOVICH M.D.
Obstetrics & Gynecology
1430 2ND AVE, SUITE 101
NEW YORK, NY 10021
New York County (212) 452-1526

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 Michelle Kornbleuth's NPI number?

The NPI number for Michelle Kornbleuth is 1902963226. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Michelle Kornbleuth located?

Michelle Kornbleuth practices at 1430 2nd Ave Suite 103, New York, NY 10021. The listed phone number is (212) 434-2534.

What is Michelle Kornbleuth's specialty?

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

Is Michelle Kornbleuth enrolled in Medicare?

No. Michelle Kornbleuth has opted out of Medicare through June 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michelle Kornbleuth 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.