Individual provider Active NPI

Joann Sciacca

  • Behavioral Neurology & Neuropsychiatry Physician
  • Hawthorne, NY
National Provider Identifier
1255444147
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
400912 Issued in NY
Practice address
150 Elwood Ave
Hawthorne, NY 10532-2346
Phone
(914) 588-4856
Fax
(914) 449-6725
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 400912 NY Primary

Addresses

Primary practice location

150 Elwood Ave
Hawthorne, NY 10532-2346

Mailing address

150 Elwood Ave
Hawthorne, NY 10532-2346
Phone (914) 588-4856

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180824000347 NY Practitioner - Nurse Practitioner 0042591869

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.41 of 100Reported as group
Quality
90.71
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
400912NYMDBehavioral Neurology & Neuropsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1255444147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ELWOOD AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322346",
            "telephone_number": "914-588-4856",
            "fax_number": "914-449-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ELWOOD AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322346",
            "telephone_number": "914-588-4856",
            "fax_number": "914-449-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIACCA",
        "first_name": "JOANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NY",
            "license": "400912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.