Individual provider Active NPI

Anna Satalino, PH.D.

  • Clinical Psychologist
  • Sayville, NY
National Provider Identifier
1104206051
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
021179 Issued in NY
Practice address
100 S Main St Ste 208
Sayville, NY 11782-3148
Phone
(631) 905-2398
Fax
(631) 532-1792
NPI assigned
Jun 5, 2015
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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 021179 NY Primary

Addresses

Primary practice location

100 S Main St Ste 208
Sayville, NY 11782-3148

Mailing address

47 Tallmadge TRL
Miller Place, NY 11764-2327
Phone (631) 905-2398

Other practice location 1

2500 Nesconset Hwy Bldg 5D
Stony Brook, NY 11790-2552
Phone (631) 905-2398

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
I20150824000458 NY Practitioner - Clinical Psychologist 4284949041 Reassigns benefits to 2 organizations
Practice locations: Sayville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 S Main St
Suite 208
Sayville, NY 11782-3148
Phone (631) 905-2398

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Street Psychiatry, PC Clinical CurrentSince Jun 25, 2015 Accepting new patients
Che Senior Psychological Services, PC Clinical CurrentSince Oct 31, 2019 Accepting new patients
Louis E Mora PHD Psychologist PC Clinical PastSince Dec 31, 2023 Accepting new patients

Locations

4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1104206051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 TALLMADGE TRL",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642327",
            "telephone_number": "631-905-2398",
            "fax_number": "631-532-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 208",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823148",
            "telephone_number": "631-905-2398",
            "fax_number": "631-532-1792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Nesconset Hwy Bldg 5D",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117902552",
            "country_code": "US",
            "telephone_number": "631-905-2398",
            "fax_number": "631-532-1792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATALINO",
        "first_name": "ANNA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

Verify at the official NPI Registry.