Individual provider Active NPI

Constance Salhany, PH.D.

  • Clinical Psychologist
  • Staten Island, NY
National Provider Identifier
1205036217
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017286 Issued in NY
Practice address
1110 South Ave
Suite 5
Staten Island, NY 10314-3403
Phone
(347) 217-8729
Fax
(718) 227-6007
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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 017286 NY Primary

Addresses

Primary practice location

1110 South Ave
Suite 5
Staten Island, NY 10314-3403

Mailing address

1110 South Avenue at Lois Lane
Suite # 5
Staten Island, NY 10314
Phone (347) 217-8729

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
I20071204000762 NY Practitioner - Clinical Psychologist 7416046081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1110 S Ave
Suite 5
Staten Island, NY 10314-3403
Phone (347) 273-1290

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Therapy If Si Pysch SVCS & Lic Mental Health Counselor PLLC CurrentSince Oct 20, 2010 Accepting new patients
Clinical Management Consultants Past Accepting new patients
Richmond Psychological Services, P.C. Past Accepting new patients

Locations

1110 South Ave
#5
Staten Island, NY 10314
Phone (347) 273-1290

1110 South Ave
Ste 5
Staten Island, NY 10314
Phone (347) 273-1290

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1205036217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SOUTH AVENUE AT LOIS LANE",
            "address_2": "SUITE # 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "347-217-8729",
            "fax_number": "718-227-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SOUTH AVE",
            "address_2": "SUITE 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143403",
            "telephone_number": "347-217-8729",
            "fax_number": "718-227-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALHANY",
        "first_name": "CONSTANCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.