Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114506227 Individual Practitioner Male Practitioner

Kahlil Cinque Duperry

Psychologist • Bronx, NY

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This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kahlil Duperry is a registered Psychologist practitioner in Bronx, NY. With approximately 4 years of clinical practice since completing medical education in 2022, Kahlil Duperry provides healthcare services at the registered practice location at 111 E 210TH ST.

Kahlil Duperry is affiliated with Montefiore Medical Center and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

111 E 210th St

Bronx, NY 104672401

Telephone 7189206215
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bronx, NY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -13.3 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
205 Specialists

Practicing in Bronx, NY (5379 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duperry (4 Years) 4 Yrs
Bronx Specialty Average (17.3 Years) 17.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-05-01
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NY 025829

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Montefiore Medical Center

111 E 210th St, Bronx, NY 104672401

Phone: 7189204321

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Frank Direnno , MD

Student in an Organized Health Care Education/Training Program

NPI 1063090819

Doctor of Medicine (M.D.)

Michelle Williamson

Psychiatry & Neurology - Psychiatry

NPI 1144752049
Dr. James Gang , MD

Student in an Organized Health Care Education/Training Program

NPI 1174263529

Doctor of Medicine (M.D.)

Dr. Melissa Platt , PsyD

Psychologist - Clinical

NPI 1497196406

Doctor of Psychology (Psy.D.)

Olivia Herrington

Student in an Organized Health Care Education/Training Program

NPI 1508568759
Philip Mcfarland

Student in an Organized Health Care Education/Training Program

NPI 1548900558

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2025

Psychologist (License #025829 in NY)

NPI Profile Active April 06, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2021

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189206215)

📍
Updated Business Mailing Address April 06, 2021

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189206215)

👤
Provider Name / Credentials Updated April 06, 2021

Recorded as KAHLIL DUPERRY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 06, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114506227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2021
Last Update: May 01, 2025
Sole Proprietor: Yes

Mailing Address

111 E 210th St

Bronx, NY 104672401

Phone: 7189206215

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.