Ariele Garofalo, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSO17954 Issued in PA

Practice address

155 Erie Blvd
Susquehanna, PA 18847-2791

Phone

(570) 853-3577

Fax

(570) 853-3587

NPI assigned

Dec 19, 2012

Last updated

Jun 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1093051047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ERIE BLVD",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472791",
            "telephone_number": "570-853-3577",
            "fax_number": "570-853-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ERIE BLVD",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472791",
            "telephone_number": "570-853-3577",
            "fax_number": "570-853-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROFALO",
        "first_name": "ARIELE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PSO17954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Nellie Dewitt
• Warren Dewitt, MD
• Paul Downton, PA-C
• Logan Lee Ellis, RDN LDN
• Family Health Clinic Inc (Susquehanna Family Health Clinic Inc)
• Laura Anne Goble, RD, LDN
• Judith Herschel
• William David Iveson, FNP-BC
• Nancy Koberlein, CRNP
• Sara Kolenda

• Psychologist in Susquehanna, PA
• Providers in Susquehanna, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.