Active NPI
Anna Scolaro, PSYD, LCSW
- Clinical Psychologist
- New York, NY
National Provider Identifier
1285252494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 026169
- Practice address
- 312 E 85TH St Apt 6a
New York, NY 10028-4569 - Phone
- (646) 484-9245
- NPI assigned
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 087654 | NY | |
| Clinical Psychologist | 103TC0700X | 026169 | NY | Primary |
Addresses
Primary practice location
312 E 85TH St Apt 6a
New York, NY 10028-4569
Mailing address
3457 Main St FL 2
Stone Ridge, NY 12484-5612
Phone (908) 216-6845
Other practice location 1
3457 Main St
Stone Ridge, NY 12484-5612
Phone (646) 484-9245
Other practice location 2
157 E 86th St Frnt 2
New York, NY 10028-2113
Phone (917) 690-3071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087654 | NY | MD | Clinical Social Worker |
| 026169 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1285252494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3457 MAIN ST FL 2",
"city": "STONE RIDGE",
"state": "NY",
"postal_code": "124845612",
"telephone_number": "908-216-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E 85TH ST APT 6A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100284569",
"telephone_number": "646-484-9245"
}
],
"practiceLocations": [
{
"address_1": "3457 Main St",
"address_purpose": "LOCATION",
"city": "Stone Ridge",
"state": "NY",
"postal_code": "124845612",
"country_code": "US",
"telephone_number": "646-484-9245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "157 E 86th St Frnt 2",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100282113",
"country_code": "US",
"telephone_number": "917-690-3071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOLARO",
"first_name": "ANNA",
"credential": "PSYD, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087654",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "026169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.