Individual provider Active NPI

Agathe Charles Pierre-Louis, PSY.D.

  • Clinical Psychologist
  • Campbell Hall, NY
National Provider Identifier
1255525077
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019201 Issued in NY
Practice address
3136 Nys Route 207
Campbell Hall, NY 10916-2230
Phone
(845) 360-2547
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 019201 NY Primary

Addresses

Primary practice location

3136 Nys Route 207
Campbell Hall, NY 10916-2230

Mailing address

3136 Nys Route 207 Ste 203
Campbell Hall, NY 10916-2234
Phone (845) 360-2547

Other practice location 1

18 Old Post Rd S
Croton ON Hudson, NY 10520-2316
Phone (855) 771-0404

Other practice location 2

1578 Williamsbridge Rd Apt 3A
Bronx, NY 10461-6268
Phone (855) 771-0404

Other identifiers 3

IdentifierTypeStateIssuer
1205326394OtherNYGROUP NPI
1255525077OtherNYINDIVIDUAL NPI
03498015MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 26, 2024 through Sep 26, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Louis Psychological Services CurrentSince Oct 23, 2022 Accepting new patients

Locations

1578 Williamsbridge Rd
Apt 3A
Bronx, NY 10461
Phone (347) 281-9747

3136 Nys Route 207
Ste 203
Campbell Hall, NY 10916
Phone (845) 360-2547

18 Old Post Rd S
Croton on Hudson, NY 10520
Phone (855) 771-0404

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1255525077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 NYS ROUTE 207 STE 203",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162234",
            "telephone_number": "845-360-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 NYS ROUTE 207",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162230",
            "telephone_number": "845-360-2547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Old Post Rd S",
            "address_purpose": "LOCATION",
            "city": "Croton ON Hudson",
            "state": "NY",
            "postal_code": "105202316",
            "country_code": "US",
            "telephone_number": "855-771-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1578 Williamsbridge Rd Apt 3A",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104616268",
            "country_code": "US",
            "telephone_number": "855-771-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRE-LOUIS",
        "first_name": "AGATHE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1205326394",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1255525077",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03498015",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell Hall, NY

Sources for this page

Verify at the official NPI Registry.