Individual provider Active NPI

Dolores Jeanne Calcaterra, PSY.D.

  • Psychologist
  • Glen Cove, NY
National Provider Identifier
1285827063
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
010607-1 Issued in NY
Practice address
3 Highland Rd
Glen Cove, NY 11542-2641
Phone
(516) 671-8374
NPI assigned
Aug 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 010607-1 NY Primary

Addresses

Primary practice location

3 Highland Rd
Glen Cove, NY 11542-2641

Mailing address

3 Highland Rd
Glen Cove, NY 11542-2641
Phone (516) 671-8374

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000002 NY Practitioner - Clinical Psychologist 7315085081 Practice locations: Glen Head, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Glen Head Rd
Glen Head, NY 11545-1456
Phone (516) 671-8374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010607-1NYMDEmergency Medical Services (Emergency Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1285827063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HIGHLAND RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422641",
            "telephone_number": "516-671-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HIGHLAND RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422641",
            "telephone_number": "516-671-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCATERRA",
        "first_name": "DOLORES",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010607-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.