Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1154796571 Deactivated / Inactive NPI Male Practitioner

Lesile Kellner

Psychologist • Spring Valley, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lesile Kellner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 10, 2015
NPI Deactivation Date May 02, 2017
Total Practice Duration ~2 Years of Practice (2015 – 2017)

Professional Overview & Biography Verified Profile Summary

Lesile Kellner was a registered Psychologist practicing in Spring Valley, NY. Throughout an active medical career spanning 2 years, Lesile Kellner provided care at the practice location at 75 HERRICK AVE until profile deactivation on 2017-05-02.

Practice Location & Contact Primary Location

Practice Address

75 Herrick Ave

Spring Valley, NY 109773818

Telephone 7182982069
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Spring Valley, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
14 Specialists

Practicing in Spring Valley, NY (5379 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NY 021020

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Robin Bryman , PhD

Psychologist - Clinical

NPI 1982142394

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 02, 2017

Record deactivated on May 02, 2017

NPI Profile Active December 10, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 10, 2015

Registered at 75 HERRICK AVE, SPRING VALLEY, NY 109773818 (Tel: 7182982069)

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Updated Business Mailing Address December 10, 2015

Registered at 630 1ST AVENUE, APT 18A, NEW YORK, NY 10016 (Tel: 2126791366)

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Provider Name / Credentials Updated December 10, 2015

Recorded as LESILE KELLNER

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2015

Psychologist (License #021020 in NY)

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Initial NPI Registration & Enumeration December 10, 2015

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: 1154796571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2015
Last Update: December 10, 2015
Deactivation Date: May 02, 2017

Mailing Address

630 1st Avenue, Apt 18a

New York, NY 10016

Phone: 2126791366

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

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