Active NPI
Carla Natalucci-Hall, PSY.D.
- Clinical Psychologist
- Floral Park, NY
National Provider Identifier
1346323896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 012586
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 012586 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carla Natalucci-Hall Psy.D. PC | Clinical | Current | 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.
-
- Clinical Psychologist
- Floral Park, NY
- NPI 1659662211
-
- Clinical Child & Adolescent Psychologist
- Smithtown, NY
- NPI 1245488527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.