Stephen Salvatore Misuraca, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010783 Issued in NY

Practice address

1705 Gerritsen Ave
Brooklyn, NY 11229-2610

Phone

(718) 641-1307

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hollander Psychological Consulting PC

  • Clinical Psychologist
  • White Plains, NY
  • NPI 1760534481
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376611343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 158TH AVE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143213",
            "telephone_number": "718-641-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 GERRITSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292610",
            "telephone_number": "718-641-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISURACA",
        "first_name": "STEPHEN",
        "middle_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01385148",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mission One Physical Therapy PLLC
• Akossiwa Ani Missoh
• Gloria Missry, LMSW
• Allison Marie Mistretta, LMSW
• Maganlal G Mistry, MD
• Khrystyna Misyuk, MHC
• Natalie Misyuk
• Victor Brian Misyuk, LMT
• Monika Miszczuk
• Iwona Mita

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.