Marie A. Carrese

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

012339 Issued in NY

Practice address

66 Gates Ave
Malverne, NY 11565-1912

Phone

(516) 599-5905

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235282641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 GATES AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651912",
            "telephone_number": "516-599-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 GATES AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651912",
            "telephone_number": "516-599-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRESE",
        "first_name": "MARIE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "012339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "079588",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle F Cameron
• William F. Campbell, D.D.S.
• Tara Cardenas, M ED., BCBA, LBA
• James Cardito
• Katherine Mary Carney, OTR/L
• Joyton Castelino
• Tanya Castro, M.S., CCC-SLP
• Maria Casvikes, DDS
• Michelle E Cavero, M.S. CCC-SLP
• Agnieszka Chalczynska

• Counseling Psychologist in Malverne, NY
• Providers in Malverne, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.