Individual provider Active NPI

Donato Vaccaro

  • Cognitive & Behavioral Psychologist
  • Yonkers, NY
National Provider Identifier
1417575754
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
009283-01 Issued in NY
Practice address
1 Executive Blvd Ste 178
Yonkers, NY 10701-6836
Phone
(914) 595-1482
Fax
(914) 265-8937
NPI assigned
Jul 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X 009283-01 NY
Cognitive & Behavioral Psychologist 103TB0200X 009283-01 NY Primary

Addresses

Primary practice location

1 Executive Blvd Ste 178
Yonkers, NY 10701-6836

Mailing address

40 Deerfield Ave
Eastchester, NY 10709-3805
Phone (914) 417-7373

Other practice location 1

40 Deerfield Ave
Eastchester, NY 10709-3805
Phone (914) 417-7373

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201001239 NY Practitioner - Clinical Psychologist 5395238257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

1 Executive Blvd
Suite 178
Yonkers, NY 10701-6836
Phone (914) 595-1482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
009283-01NYMDHealth Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC CurrentSince Oct 18, 2025 Accepting new patients

Locations

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

1 Executive Blvd
Ste 178
Yonkers, NY 10701
Phone (914) 595-1482

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1417575754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DEERFIELD AVE",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107093805",
            "telephone_number": "914-417-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD STE 178",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016836",
            "telephone_number": "914-595-1482",
            "fax_number": "914-265-8937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Deerfield Ave",
            "address_purpose": "LOCATION",
            "city": "Eastchester",
            "state": "NY",
            "postal_code": "107093805",
            "country_code": "US",
            "telephone_number": "914-417-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "DONATO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "009283-01",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "009283-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.