NPIMap

Organization Active NPI

Carolyn I Vicchiullo PSYD

  • Psychologist
  • Easton, PA
National Provider Identifier
1235305210
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015116 Issued in PA
Legal business name
CAROLYN I VICCHIULLO PSYD
Practice address
2030 Lehigh St
Suite 107
Easton, PA 18042-3853
Phone
(610) 253-8900
Fax
(610) 253-7062
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Carolyn Irma Vicchiullo, PSYD
Title
Psychologist
Phone
(610) 253-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS015116 PA Primary

Addresses

Primary practice location

2030 Lehigh St
Suite 107
Easton, PA 18042-3853

Mailing address

2030 Lehigh St
Suite 107
Easton, PA 18042-3853
Phone (610) 253-8900

Other identifiers 3

IdentifierTypeStateIssuer
1765117OtherHIGHMARK
03183600OtherCBC
262019000OtherPAMAGELLAN

National Provider Directory

National Provider Directory

Locations

2030 Lehigh St
Ste 107
Easton, PA 18042
Phone (610) 253-5100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1235305210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 LEHIGH ST",
            "address_2": "SUITE 107",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423853",
            "telephone_number": "610-253-8900",
            "fax_number": "610-253-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 LEHIGH ST",
            "address_2": "SUITE 107",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423853",
            "telephone_number": "610-253-8900",
            "fax_number": "610-253-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN I VICCHIULLO PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "VICCHIULLO",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "IRMA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-253-8900",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1765117",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC",
            "identifier": "03183600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "262019000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.