Individual
DR. KENNETH S KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
392 CENTRAL PARK W, STE 8M, NEW YORK, NY 10025-5860
(212) 222-2126
(212) 222-2126
Mailing address
392 CENTRAL PARK W, STE 8M, NEW YORK, NY 10025-5860
(212) 222-2126
(212) 222-2126
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0066630
NY
103T00000X
Psychologist
35SI00320100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068815
GHI GHI BMP
NJ
01
—
0068815
GHI GHI BMP
NY
05
—
00916481
—
NY
01
—
060006663NY01
ANTHEM HEALTH
NJ
01
—
060006663NY01
ANTHEM HEALTH
NY
01
—
121835000
MAGELLAN BEH HEALTH
NY
01
—
151129
MANAGED HEALTH MUTUAL
NJ
01
—
151129
MANAGED HEALTH MUTUAL
NY
05
—
610010Y
—
NJ
01
—
I5408
OXFORD
NJ
01
—
I5408
OXFORD
NY
01
—
J022890
TRICARE/CHAMPUS
NJ
01
—
V62801
EMPIRE BCBS NY
—
01
—
Y041125
TRICARE/CHAMPUS
NY
Enumeration date
11/21/2005
Last updated
08/27/2012
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