Active NPI
Allyson Havill, PHD
- Clinical Psychologist
- Pine Bush, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 026482-01
- Practice address
- 127 State Route 302 Ste 4
Pine Bush, NY 12566-7134 - Phone
- (724) 814-1492
- NPI assigned
- Jul 17, 2007
- Last updated
- Mar 19, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS019997 | PA | |
| Clinical Psychologist | 103TC0700X | 026482-01 | NY | Primary |
Addresses
Primary practice location
127 State Route 302 Ste 4
Pine Bush, NY 12566-7134
Mailing address
64 Bert McCord Dr
Pine Bush, NY 12566-5344
Phone (845) 654-7267
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2263 James St
Suite 523
Syracuse, NY 13206-3262
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026482-01 | NY | MD | Clinical Psychologist |
| PS019997 | PA | MD | Clinical Psychologist |
| 026482 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Che Senior Psychological Services, PC | Clinical | Current | Accepting new patients |
| Knapp Street Psychiatry, PC | Clinical | Current | Accepting new patients |
| Brightside Medical, P.C. | Current | Accepting new patients | |
| Allyson Havill PHD | Clinical | Current | Accepting new patients |
| Francis C Harris | Past | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
127 State Route 302
Ste 4
Pine Bush, NY 12566
Phone (724) 814-1492
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 420-1934
Organizations & group practices 5
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.
-
- Clinical Psychologist
- Pine Bush, NY
- NPI 1679425706
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1124227269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 BERT MCCORD DR",
"city": "PINE BUSH",
"state": "NY",
"postal_code": "125665344",
"telephone_number": "845-654-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 STATE ROUTE 302 STE 4",
"city": "PINE BUSH",
"state": "NY",
"postal_code": "125667134",
"telephone_number": "724-814-1492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVILL",
"first_name": "ALLYSON",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS019997",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "026482-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bush, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.