Active NPIIndividual providerSole proprietor

Dr. Kati N Lake, PHD, MS, MA, MPHIL

Psychologist in New Rochelle, New York

NPI Number1275496838
Practice location
224 Broadview Ave, New Rochelle, NY 10804-4145
Fax
—
Last updated
December 9, 2025

Kati Nicole Lake is a Psychologist based in New Rochelle, NY. Kati Nicole Lake practices in New Rochelle, NY and has the professional credentials of PHD, MS, MA, MPHIL. The NPI Number for Kati Nicole Lake is 1275496838 and holds a License No. 027787 (NY). The current practice location address for Kati Nicole Lake is 224 Broadview Ave, New Rochelle, NY 10804-4145 and can be reached out via phone at 740-296-0220.

Provider Profile Details

NPI Number
1275496838
Provider Name
Kati Nicole Lake
Credential
PHD, MS, MA, MPHIL
Provider Entity Type
Individual
Gender
Female
Address
224 Broadview Ave, New Rochelle, NY 10804-4145
Phone Number
740-296-0220
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 9, 2025
Last Update Date
December 9, 2025
Certification Date
December 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
224 Broadview Ave
New Rochelle, NY 10804-4145
Zip
10804-4145
Phone Number
740-296-0220
New Rochelle, NY 10804Get directions →

Provider Business Mailing Address Details

Address
224 Broadview Ave
New Rochelle, NY 10804-4145
City
New Rochelle
State
NY
Zip
10804-4145
Phone Number
740-296-0220

License Information

License Number
027787
License State
NY
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kati N Lake, PHD, MS, MA, MPHIL?

The NPI number of Dr. Kati N Lake, PHD, MS, MA, MPHIL is 1275496838. It was assigned on December 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Kati N Lake, PHD, MS, MA, MPHIL?

Dr. Kati N Lake, PHD, MS, MA, MPHIL is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NY under license number 027787.

Where does Dr. Kati N Lake, PHD, MS, MA, MPHIL practice?

The practice location is 224 Broadview Ave, New Rochelle, NY 10804-4145. The office can be reached at 740-296-0220 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275496838 directly on the NPPES registry website.

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