Amy Michael Racanello, PHD

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

635 W 165TH St FL 6
Columbia University Medical Center-Nyph
New York, NY 10032-3724

Phone

(646) 317-6305

NPI assigned

Apr 3, 2013

Last updated

Oct 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1417290875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 RICE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142509",
            "telephone_number": "718-986-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W 165TH ST FL 6",
            "address_2": "COLUMBIA UNIVERSITY MEDICAL CENTER-NYPH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323724",
            "telephone_number": "646-317-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACANELLO",
        "first_name": "AMY",
        "middle_name": "MICHAEL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "68 020777",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melba Raby
• Alexandra Christin Racanelli, M.D./PH.D.
• Joseph Racanelli, M.D.
• Rocco Michael Racanelli, PA
• Sulakshana Racanelli, PA
• Emma Raccaro, PT, DPT
• Christina Raccuia, LMSW
• Simone Race, MS
• Carmela Ramirez Racelis, M.D.
• Michelle Monique Racer, M.S., OTR/L

• School Psychologist in New York, NY
• Providers in New York, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.