Individual provider Active NPI

Lanora Jane Duell, PSY. D.

  • Clinical Psychologist
  • Vestal, NY
National Provider Identifier
1124420096
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020904 Issued in NY
Practice address
231 Main St Lbby Level
Vestal, NY 13850-1548
Phone
(607) 205-1394
Fax
(607) 238-3749
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 020904 NY Primary

Addresses

Primary practice location

231 Main St Lbby Level
Vestal, NY 13850-1548

Mailing address

231 Main St Lbby Level
Vestal, NY 13850-1548
Phone (607) 205-1394

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
I20160107002285 NY Practitioner - Clinical Psychologist 3173840741 Practice locations: Endicott, NY; Vestal, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry Duvinsky PHD Licensed Psychologist PC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1124420096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAIN ST LBBY LEVEL",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501548",
            "telephone_number": "607-205-1394",
            "fax_number": "607-238-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAIN ST LBBY LEVEL",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501548",
            "telephone_number": "607-205-1394",
            "fax_number": "607-238-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUELL",
        "first_name": "LANORA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.