Krista Sickler

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0157571 Issued in NY

Practice address

1979 Marcus Avenue
Suite 204
Lake Success, NY 11042

Phone

(310) 721-4871

NPI assigned

Jan 6, 2010

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

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, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

State of New York Comptrollers OfficeGroup PAC ID 0840101770, 171 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.46 of 100Reported as group

Quality

73.89

Promoting interoperability

89

Improvement activities

40

Cost

75.72

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment Care Compare group NPD
• State of New York Comptrollers Office

  • Physical Therapist
  • Albany, NY
  • NPI 1982174520
  NPD
• Geriatric Psychological Services PC

  • Psychologist
  • Forest Hills, NY
  • NPI 1124063664
  NPD (past)

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1275863755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "city": "KERHONKSON",
            "state": "NY",
            "postal_code": "124460801",
            "telephone_number": "310-721-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVENUE",
            "address_2": "SUITE 204",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "310-721-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKLER",
        "first_name": "KRISTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0157571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Senreich, MD
• Trusha Narendra Shah, M.D.
• Roopalatha P Shenoy, OTRL
• Sandra Shivamber, FNP
• Lawrence Shulman, MD
• Steven Scott Siegel, DPM
• Brian Richard Simon
• Puneet Singh, D.O.
• Ronda Gail Snowden, M.D.
• Thomas M Sodeman, MD

• Clinical Psychologist in Lake Success, NY
• Providers in Lake Success, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.