Active NPI
Carl John Baldini, M.S. ED.
- School Psychologist
- Port Jefferson Station, NY
National Provider Identifier
1205747680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 299 Hallock Ave
Port Jefferson Station, NY 11776-1217 - Phone
- (631) 473-4284
- NPI assigned
- Sep 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NY | Primary |
Addresses
Primary practice location
299 Hallock Ave
Port Jefferson Station, NY 11776-1217
Mailing address
411 Wading River Rd
Manorville, NY 11949-3446
Phone (631) 848-9282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1205747680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 WADING RIVER RD",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119493446",
"telephone_number": "631-848-9282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 HALLOCK AVE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117761217",
"telephone_number": "631-473-4284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDINI",
"first_name": "CARL",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "M.S. ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.