Individual
KAITLIN MASOPUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
9005 OLD RIVER RD, MARCY, NY 13403-3000
(212) 780-2500
Mailing address
9005 OLD RIVER RD, MARCY, NY 13403-3000
(315) 765-3600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
03/06/2026
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