Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dmitriy Kazakov, PHD

Individual provider Clinical Psychologist · NPI 1336804541

Dmitriy Kazakov, PHD is a Clinical Psychologist in Port Chester, New York. Qualified in 2019, 7 years ago. Practices with Carmel Psychological Health PC, a 213-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
7
Licensed in
CT, NY
In the registry since
2021
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

10 Pearl St Fl 2
Port Chester, NY 10573-4611
Phone: (914) 265-2762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 609 W Johnson Ave Ste 104, Cheshire, CT 06410-4506 — (203) 272-6007

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2997224 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 4127 (CT)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 2997224 (NY)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 4127 (CT)

Record details

NPI number1336804541
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carmel Psychological Health Pc — 213 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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