Individual provider Active NPI

Stacey A Trapani-Barber, PSY.D, LBA, BCBA

  • Clinical Psychologist
  • Kingston, NY
National Provider Identifier
1306180690
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
023064 Issued in NY
Practice address
521 Boices LN
Kingston, NY 12401
Phone
(845) 235-5909
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 023064 NY Primary
Behavior Analyst 103K00000X 1084135

Addresses

Primary practice location

521 Boices LN
Kingston, NY 12401

Mailing address

PO Box 84
West Camp, NY 12490-0084
Phone (845) 235-5909

Other practice location 1

4885 Route 9
Staatsburg, NY 12580-6028
Phone (845) 546-0232

Other practice location 2

6369 Mill St Ste 101
Rhinebeck, NY 12572-1435
Phone (845) 516-4713

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
I20260129001149 NY Order and Referring Only - Clinical Psychologist 5092293357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1306180690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "WEST CAMP",
            "state": "NY",
            "postal_code": "124900084",
            "telephone_number": "845-235-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BOICES LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-235-5909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4885 Route 9",
            "address_purpose": "LOCATION",
            "city": "Staatsburg",
            "state": "NY",
            "postal_code": "125806028",
            "country_code": "US",
            "telephone_number": "845-546-0232",
            "fax_number": "845-889-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6369 Mill St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rhinebeck",
            "state": "NY",
            "postal_code": "125721435",
            "country_code": "US",
            "telephone_number": "845-516-4713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAPANI-BARBER",
        "first_name": "STACEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PSY.D, LBA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023064",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1084135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.