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DR. KYLA JOSIE BLATTBERG PH.D.
NPI 1982793071
Psychologist - Clinical in Syosset, NY

Active since October 12, 2006Opted out of Medicare · through Jan 1, 2027
36 HOLLY DR, SYOSSET, NY 11791(516) 445-8392 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kyla Josie Blattberg Ph.d. NPPES

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

DR. KYLA JOSIE BLATTBERG PH.D. (NPI 1982793071) is an individual clinical provider in Syosset, New York, licensed in New York (012259) and active in the NPI registry since October 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982793071
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KYLA JOSIE BLATTBERGCredential: PH.D.
Location Address36 HOLLY DRSyosset, NY 11791-5720
Mailing Address36 Holly DrSyosset, NY 11791-5720 · (516) 445-8392
Phone(516) 445-8392
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateAugust 5, 2015
✔ NPI 1982793071 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 · 012259
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.
36 HOLLY DR, Syosset, NY 11791
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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. Kyla Josie Blattberg 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 January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11791 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Kyla Blattberg's NPI number?

The NPI number for Kyla Blattberg is 1982793071. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Kyla Blattberg located?

Kyla Blattberg practices at 36 Holly Dr, Syosset, NY 11791. The listed phone number is (516) 445-8392.

What is Kyla Blattberg's specialty?

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

Is Kyla Blattberg enrolled in Medicare?

No. Kyla Blattberg has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kyla Blattberg was last updated on August 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.