Debra Jean Pietrangelo, PSYD.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

0144021 Issued in NY

Practice address

123 Dixon Rd
Queensbury, NY 12804-2133

Phone

(518) 798-9187

Fax

(518) 798-9187

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adirondack Cross Roads Psychology PLLC

  • Clinical Psychologist
  • Queensbury, NY
  • NPI 1528378692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023100617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DIXON RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128042133",
            "telephone_number": "518-798-9187",
            "fax_number": "518-798-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DIXON RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128042133",
            "telephone_number": "518-798-9187",
            "fax_number": "518-798-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRANGELO",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "0144021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02145628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Lee Phillips-Perkins, LCSW-R
• Abigail Philpott, OTR/L
• Dennis J Picano, MD
• Dominique Suzanne Pickering, SLP
• Cheryl Pierce, SLP
• Ashley Kimberly Plemenik, OTR
• Judy A Podziewski, FNP-BC
• Taylor Polsinelli, PHARMD
• Thomas G Portuese, MD
• Positive Action Physical Therapy, PC

• School Psychologist in Queensbury, NY
• Providers in Queensbury, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.