Individual provider Active NPI

Cecilia Rembert, PSYD

  • Clinical Psychologist
  • Carmel, NY
National Provider Identifier
1205224367
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018644 Issued in NY
Practice address
667 Stoneleigh Ave
Suite 202
Carmel, NY 10512-2454
Phone
(845) 279-5908
Fax
(845) 279-5447
NPI assigned
Dec 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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 018644 NY Primary

Addresses

Primary practice location

667 Stoneleigh Ave
Suite 202
Carmel, NY 10512-2454

Mailing address

667 Stoneleigh Ave
Suite 202
Carmel, NY 10512-2454
Phone (845) 279-5908

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
I20150129000346 NY Practitioner - Clinical Psychologist 2860716529 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
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

1940 Commerce St
Suite 309
Yorktown Heights, NY 10598-4449
Phone (914) 245-0437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC CurrentSince Dec 23, 2014 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

203 Jay St
Ste 501
Brooklyn, NY 11201
Phone (347) 304-9465

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

1399 Franklin Ave
Ste 302
Garden City, NY 11530

1940 Commerce St
Ste 309
Yorktown Heights, NY 10598
Phone (844) 468-5391

Interoperability endpoints

  • Direct secure messaging: cpa.ceciliarembert@142175.advancedmd-direct.com

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": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1205224367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE",
            "address_2": "SUITE 202",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122454",
            "telephone_number": "845-279-5908",
            "fax_number": "845-279-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE",
            "address_2": "SUITE 202",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122454",
            "telephone_number": "845-279-5908",
            "fax_number": "845-279-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMBERT",
        "first_name": "CECILIA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.