Active NPI
Dana Catharine Nevedal, PH.D.
- Clinical Psychologist
- Albany, NY
National Provider Identifier
1417372103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020430
- Practice address
- 435 New Karner Rd
Albany, NY 12205-3833 - Phone
- (518) 456-2060
- NPI assigned
- Mar 4, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 020430 | NY | |
| Clinical Psychologist | 103TC0700X | 020430 | NY | Primary |
| Health Psychologist | 103TH0004X | 020430 | NY | |
| Rehabilitation Psychologist | 103TR0400X | 020430 | NY |
Addresses
Primary practice location
435 New Karner Rd
Albany, NY 12205-3833
Mailing address
435 New Karner Rd
Northeast Psychological Associates
Albany, NY 12205-3833
Phone (518) 456-2060
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151020000356 | NY | Practitioner - Clinical Psychologist | 2668698028 | Practice locations: Schenectady, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
600 McClellan St
Schenectady, NY 12304-1009
Phone 5184562060378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Psychological Associates | Clinical | Past | Accepting new patients |
| Northeast Psychological Associates PLLC | Past | Accepting new patients |
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
- Albany, NY
- NPI 1275751133
-
- Psychologist
- Albany, NY
- NPI 1447817093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1417372103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 NEW KARNER RD",
"address_2": "NORTHEAST PSYCHOLOGICAL ASSOCIATES",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053833",
"telephone_number": "518-456-2060",
"fax_number": "518-456-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 NEW KARNER RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053833",
"telephone_number": "518-456-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVEDAL",
"first_name": "DANA",
"middle_name": "CATHARINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-04",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "020430",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020430",
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "NY",
"license": "020430",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NY",
"license": "020430",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
- Kaylee Neumann, RN
- Sabita Neupane, RN
- Neurological Associates of Albany, PC
- Neurological Clinical Associate PC
- Neuropsychologic Rehabilitation Services PC
- Patricia A Nevinger, F.N.P.
- Timothy Nevinger, NP
- New Day Interventions Strategies, LLC
- New Paradigm Psychological Services
- New Perspectives Mental Health Counseling, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.