Provider Demographics
NPI:1902337413
Name:MCEVOY, KYLE WILLIAM (MS, LMHC, CCMHC, LPC)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:WILLIAM
Last Name:MCEVOY
Suffix:
Gender:M
Credentials:MS, LMHC, CCMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 5TH AVE STE 1102
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3604
Mailing Address - Country:US
Mailing Address - Phone:631-682-7741
Mailing Address - Fax:
Practice Address - Street 1:302 5TH AVE STE 1102
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3604
Practice Address - Country:US
Practice Address - Phone:631-682-7741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-26
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006466101YP2500X
NJ37PC00904500101YP2500X
NY009113101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty