Kellie Gergoudis, MD, MSCR
NPI 1730742099 · Psychiatry Physician · New York, NY
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kellie Gergoudis, MD, MSCR is a Psychiatry Physician provider in New York, NY (NPI 1730742099).
Provider details
- NPI number
- 1730742099
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MSCR
- Sex
- Female
- Sole proprietor
- No
- License
- 318870 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-04-22
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Frequently asked questions
- What is Kellie Gergoudis's NPI number?
- Kellie Gergoudis's National Provider Identifier (NPI) is 1730742099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Gergoudis's specialty?
- Kellie Gergoudis is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Kellie Gergoudis located?
- Kellie Gergoudis's practice location on file with NPPES is 1 Park Ave Fl 8, New York, NY 10016-5802.
- What is Kellie Gergoudis's phone number?
- The practice phone number listed in the NPPES registry for Kellie Gergoudis is (212) 263-7419.
- Does Kellie Gergoudis accept Medicare?
- Kellie Gergoudis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kellie Gergoudis's NPI active?
- Yes — Kellie Gergoudis's NPI (1730742099) is active in the NPPES registry as of the last update on 2024-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.