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

Kahlil Cinque Duperry

Individual provider Psychologist · NPI 1114506227

Kahlil Cinque Duperry is a Clinical Psychologist in Bronx, New York. Qualified in 2022, 4 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-6215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 025829 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114506227
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 6, 2021
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing address111 E 210th St, Bronx, NY 10467-2401

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated

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