Individual provider Active NPI

Carla Paganelli, PSY.D.

  • Psychologist
  • Pleasantville, NY
National Provider Identifier
1194864215
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01331201 Issued in NY
Practice address
427 Bedford Rd
Suite 340
Pleasantville, NY 10570-3029
Phone
(914) 747-2492
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 01331201 NY Primary

Addresses

Primary practice location

427 Bedford Rd
Suite 340
Pleasantville, NY 10570-3029

Mailing address

427 Bedford Rd
Suite 340
Pleasantville, NY 10570-3029
Phone (914) 747-2492

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
I20040402001412 NY Practitioner - Clinical Psychologist 8820081219 Reassigns benefits to 2 organizations
Practice locations: Pleasantville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

427 Bedford Rd
Pleasantville, NY 10570-3029
Phone (914) 747-2492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01331201NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Psychological Services, PC CurrentSince Dec 13, 2009 Accepting new patients
Knapp Street Psychiatry, PC CurrentSince Dec 13, 2009 Accepting new patients
Fvca Optometry, PLLC PastSince Feb 24, 2011 Accepting new patients

Locations

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1194864215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 BEDFORD RD",
            "address_2": "SUITE 340",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703029",
            "telephone_number": "914-747-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 BEDFORD RD",
            "address_2": "SUITE 340",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703029",
            "telephone_number": "914-747-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANELLI",
        "first_name": "CARLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "01331201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

Verify at the official NPI Registry.