Provider Demographics
NPI:1275614422
Name:KAPETANAKES, BARBARA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:KAPETANAKES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 NORTH BROADWAY ,
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591
Mailing Address - Country:US
Mailing Address - Phone:914-332-9194
Mailing Address - Fax:914-332-0867
Practice Address - Street 1:239 NORTH BROADWAY ,
Practice Address - Street 2:SUITE 6
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591
Practice Address - Country:US
Practice Address - Phone:914-332-9194
Practice Address - Fax:914-332-0867
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013668103G00000X, 103TC2200X, 103TC0700X
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool