Individual provider Active NPI

Nancy Miriam Steckler, PH.D.

  • Clinical Psychologist
  • West Nyack, NY
National Provider Identifier
1164998902
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020550-1 Issued in NY
Practice address
450 West Nyack Road
Suite 2
West Nyack, NY 10994-1756
Phone
(845) 354-2121
NPI assigned
Oct 19, 2018
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 020550 NY
Clinical Psychologist 103TC0700X 020550-1 NY Primary

Addresses

Primary practice location

450 West Nyack Road
Suite 2
West Nyack, NY 10994-1756

Mailing address

3 Amundsen LN
New City, NY 10956-1705
Phone (914) 450-9985

Other identifiers 1

IdentifierTypeStateIssuer
020550-1OtherNYNY STATE PSYCHOLOGIST LICENSE NUMBER

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
I20181127003466 NY Practitioner - Clinical Psychologist 6901140243 Reassigns benefits to 1 organization
Practice locations: New City, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Squadron Blvd
Suite 360
New City, NY 10956-5260
Phone (845) 296-8976

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020550-1NYMDSpeech-Language Pathologist
020550NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Rockland County, Inc. Single Specialty CurrentSince Jan 7, 2019 Accepting new patients
Rehab-Pro of Congers P.T.PLLC Single Specialty PastSince Jan 7, 2019 Accepting new patients

Locations

450 W Nyack Rd
West Nyack, NY 10994
Phone (845) 354-2121

450 W Nyack Rd
Ste 2
West Nyack, NY 10994
Phone (845) 354-2121

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, 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": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1164998902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 AMUNDSEN LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561705",
            "telephone_number": "914-450-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WEST NYACK ROAD",
            "address_2": "SUITE 2",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941756",
            "telephone_number": "845-354-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKLER",
        "first_name": "NANCY",
        "middle_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020550",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020550-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE PSYCHOLOGIST LICENSE NUMBER",
            "identifier": "020550-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.