Kevin Antshel, Ph.D.
Psychologist, Clinical in Syracuse, NY. Individual provider (NPI-1).
NPI number1366472375
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1366472375
- Entity type
- Individual (NPI-1)
- Name
- Kevin Antshel
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 015433 | NY | Yes |
Practice location
750 E Adams StSyracuse, NY 13210-2306
Phone 315-464-3155 · Fax 315-464-3163
Mailing address
750 E Adams StSyracuse, NY 13210-2306
Phone 315-464-3155 · Fax 315-464-3163
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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