Individual provider Active NPI

Carla Natalucci-Hall, PSY.D.

  • Clinical Psychologist
  • Floral Park, NY
National Provider Identifier
1346323896
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012586 Issued in NY
Practice address
99 Tulip Ave
Suite 402
Floral Park, NY 11001-1959
Phone
(631) 239-5956
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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 012586 NY Primary

Addresses

Primary practice location

99 Tulip Ave
Suite 402
Floral Park, NY 11001-1959

Mailing address

99 Tulip Ave
Suite 402
Floral Park, NY 11001-1959
Phone (631) 239-5956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 26, 2024 through Mar 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012586NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carla Natalucci-Hall Psy.D. PC Clinical CurrentSince Nov 17, 2009 Accepting new patients
Child & Adolescent Psychological Service & Wellness, P.C. Current Accepting new patients

Locations

99 Tulip Ave
Ste 402
Floral Park, NY 11001
Phone (516) 488-7340

496 Smithtown Byp
Ste 304
Smithtown, NY 11787
Phone (631) 737-5559

Organizations & group practices 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1346323896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 TULIP AVE",
            "address_2": "SUITE 402",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011959",
            "telephone_number": "631-239-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TULIP AVE",
            "address_2": "SUITE 402",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011959",
            "telephone_number": "631-239-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATALUCCI-HALL",
        "first_name": "CARLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

Verify at the official NPI Registry.