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

Dr. Roger Thomas Kallhovd, MD

Individual provider Psychiatry Physician · NPI 1134220510

Dr. Roger Thomas Kallhovd, MD is a Psychiatry in Northport, New York. Graduated from State University of New York Downstate Medical Center in 1967, 59 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
59
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

114 Soundview Ter
Northport, NY 11768-1230
Phone: (631) 754-7013
Fax: (631) 754-7013
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 101927 (NY)

Record details

NPI number1134220510
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 26, 2006
Last updated in NPPESNovember 8, 2010

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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