Individual provider Active NPI

Michael Stancarone, PSYD

  • Clinical Psychologist
  • New Rochelle, NY
National Provider Identifier
1396853214
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011623 Issued in NY
Practice address
666 Pelham Rd
3L
New Rochelle, NY 10805-1041
Phone
(914) 576-2291
Fax
(914) 632-1749
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 011623 NY Primary

Addresses

Primary practice location

666 Pelham Rd
3L
New Rochelle, NY 10805-1041

Mailing address

666 Pelham Rd
3L
New Rochelle, NY 10805-1041
Phone (914) 576-2291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396853214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 PELHAM RD",
            "address_2": "3L",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108051041",
            "telephone_number": "914-576-2291",
            "fax_number": "914-632-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 PELHAM RD",
            "address_2": "3L",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108051041",
            "telephone_number": "914-576-2291",
            "fax_number": "914-632-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCARONE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.