Dmitriy Kazakov, PHD
Psychologist, Clinical in Port Chester, New York
1336804541- Practice location
- 10 Pearl St Fl 2, Port Chester, NY 10573-4611
- Phone
- 914-265-2762
- Fax
- —
- Last updated
- July 17, 2026
Dmitriy Kazakov is a Psychologist, Clinical based in Port Chester, NY. Dmitriy Kazakov practices in Port Chester, NY and has the professional credentials of PHD. The NPI Number for Dmitriy Kazakov is 1336804541 and holds a License No. 4127 (CT). The current practice location address for Dmitriy Kazakov is 10 Pearl St Fl 2, Port Chester, NY 10573-4611 and can be reached out via phone at 914-265-2762.
Provider Profile Details
- NPI Number
- 1336804541
- Provider Name
- Dmitriy Kazakov
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10 Pearl St Fl 2, Port Chester, NY 10573-4611
- Phone Number
- 914-265-2762
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 2, 2021
- Last Update Date
- July 17, 2026
- Certification Date
- July 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Pearl St Fl 2
Port Chester, NY 10573-4611 - City
- Port Chester
- State
- New York
- Zip
- 10573-4611
- Phone Number
- 914-265-2762
Provider Business Mailing Address Details
- Address
- 10 Pearl St Fl 2
Port Chester, NY 10573-4611 - City
- Port Chester
- State
- NY
- Zip
- 10573-4611
License Information
- License Number (1)
- 4127
- License State (1)
- CT
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 2997224
- License State (2)
- NY
- Taxonomy (2)
- Clinical Neuropsychologist · 103G00000X
- License Number (3)
- 2997224
- License State (3)
- NY
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · Primary
- License Number (4)
- 4127
- License State (4)
- CT
- Taxonomy (4)
- Clinical Neuropsychologist · 103G00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dmitriy Kazakov, PHD?
The NPI number of Dmitriy Kazakov, PHD is 1336804541. It was assigned on November 2, 2021 and is currently active in the NPPES registry.
What is the specialty of Dmitriy Kazakov, PHD?
Dmitriy Kazakov, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 4127.
Where does Dmitriy Kazakov, PHD practice?
The practice location is 10 Pearl St Fl 2, Port Chester, NY 10573-4611. The office can be reached at 914-265-2762 (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 1336804541 directly on the NPPES registry website.