Active NPI
Rosemarie Anne Montecalvo, DO
- Child & Adolescent Psychiatry Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 325721
- Practice address
- Putnam Hall
Stony Brook, NY 11794-0001 - Phone
- (631) 632-2428
- NPI assigned
- Apr 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 325721 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 325721 | NY | Primary |
Addresses
Primary practice location
Putnam Hall
Stony Brook, NY 11794-0001
Mailing address
Health Sciences Center T10-020
Stony Brook, NY 11794-0001
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
169 Putnam Hall
South Campus
Stony Brook, NY 11794-8790
Phone (631) 632-8850
201 Manor PL
Greenport, NY 11944-1222
Phone (631) 477-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 325721 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John T. Mather Memorial Hospital | Psychiatry | Current | Accepting new patients |
| Stony Brook Psychiatric Associates, University Faculty Practice Corpor | Psychiatry | Current | Accepting new patients |
| John T. Mather Memorial Hospital | Psychiatry | Current | Accepting new patients |
| John T. Mather Memorial Hospital | Current | Accepting new patients |
Locations
201 Manor Pl
Greenport, NY 11944
Phone (631) 477-1000
125 Oakland Ave
Ste 303
Port Jefferson, NY 11777
Phone (631) 729-2140
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
169 Putnam Hall
Stony Brook, NY 11794
Phone (631) 632-8850
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
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- NPI 1376642371
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- Critical Care Medicine (Internal Medicine) Physician
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- NPI 1467249334
-
- Psychiatry Physician
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- NPI 1568774453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1235692559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HEALTH SCIENCES CENTER T10-020",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PUTNAM HALL",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "631-632-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTECALVO",
"first_name": "ROSEMARIE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "325721",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "325721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.