DR. KENNETH CHARLES SPITALNY (NPI# 1891878997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891878997 |
| Entity Type | Individual |
| Full Name | DR. KENNETH CHARLES SPITALNY |
| Credential | MD |
| Practice Address |
80th St & 41st Ave Elmhurst NY 11373-1329 |
| Mailing Address |
7901 Broadway Managed Care, D1-01 Elmhurst NY 11373-1329 |
| Practice Telephone | 7183343900 |
| Practice Fax Number | 7183345958 |
| Mailing Telephone | 7183341921 |
| Mailing Fax Number | 7183343432 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
158306 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00246075 | 05 |
| Street Address |
80TH ST & 41ST AVE |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841395597 | Nima Akhavan | Psychiatry & Neurology | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-09-14 |
| 1124203898 | Aaron Michael Lipskar | Hospitalist | 80th St & 41st Ave, Elmhurst, NY 11373-1132 | 2007-12-31 |
| 1861677536 | Karisma Sita Ajodah | Social Worker | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-12-31 |
| 1669657334 | Simon D Marshall | Counselor | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-12-31 |
| 1366637886 | Monica Jean Bilboul | Clinical Neuropsychologist | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-09-07 |
| 1811103898 | Larissa Polanco | Pediatrics | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-05-15 |
| 1336355403 | Samuel Sebastianne Sostre | Psychiatry & Neurology | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-05-15 |
| 1578685335 | Ann Marie Theresa Sullivan | Psychiatry & Neurology | 80th St & 41st Ave, Elmhurst, NY 11373 | 2007-04-04 |
| 1003937277 | Carlota Gabriel Antonio | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373 | 2007-04-03 |
| 1598887523 | Bonnie Pepper | Psychologist | 80th St & 41st Ave, Elmhurst, NY 11373 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710325501 | Sowmya Tewari | Psychiatry & Neurology | 7901 Broadway, Elmhurst, NY 11373-1329 | 2013-06-13 |
| 1013179365 | Juraj Lukac | Psychiatry & Neurology | 7901 Broadway, Elmhurst, NY 11373-1329 | 2008-06-27 |
| 1972707925 | Helen Tsuon-yeh Ding | Psychiatry & Neurology | 8708 Justice Ave, Elmhurst, NY 11373-4575 | 2007-06-13 |
| 1740380468 | Salvacion R Bonete | Psychiatry & Neurology | 79-01 Broadway, Elmhurst, NY 11373-1329 | 2006-09-23 |
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| 1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
| 1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
| 1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
| 1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
| 1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
| 1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.