Individual provider Active NPI

Darcey Jean Ortolf, PHD

  • Clinical Psychologist
  • Bronx, NY
National Provider Identifier
1063506103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012588 Issued in NY
Practice address
3200 Bronx Boulevard
Parkview Home for Adults
Bronx, NY 10467
Phone
(718) 547-9300
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 012588 NY Primary

Addresses

Primary practice location

3200 Bronx Boulevard
Parkview Home for Adults
Bronx, NY 10467

Mailing address

835 Saw Creek Estates
Bushkill, PA 18324
Phone (570) 588-0161

Other identifiers 1

IdentifierTypeStateIssuer
02012480MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040524001410 NY Practitioner - Clinical Psychologist 8325039613 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 W 86TH St
New York, NY 10024-3601
Phone (917) 836-4813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012588NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Swift Optometry Care PC Past Accepting new patients
Steinway Child and Family Services, Inc. Clinical PastSince Jul 16, 2008 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063506103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SAW CREEK ESTATES",
            "city": "BUSHKILL",
            "state": "PA",
            "postal_code": "18324",
            "telephone_number": "570-588-0161",
            "fax_number": "570-588-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BRONX BOULEVARD",
            "address_2": "PARKVIEW HOME FOR ADULTS",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-547-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTOLF",
        "first_name": "DARCEY",
        "middle_name": "JEAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02012480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.