Individual provider Active NPI

Paul William Coleman, PSY.D.

  • Clinical Psychologist
  • Wappingers Falls, NY
National Provider Identifier
1437165008
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8367-1 Issued in NY
Practice address
11 Marshall Rd
Suite 1B
Wappingers Falls, NY 12590-4132
Phone
(845) 297-6198
Fax
(845) 632-3218
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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 8367-1 NY Primary

Addresses

Primary practice location

11 Marshall Rd
Suite 1B
Wappingers Falls, NY 12590-4132

Mailing address

11 Marshall Rd
Suite 1B
Wappingers Falls, NY 12590-4132
Phone (845) 297-6198

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
I20101215001035 NY Practitioner - Clinical Psychologist 3072701176 Practice locations: Wappingers Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Marshall Rd
1B
Wappingers Falls, NY 12590-4133
Phone (845) 297-6198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8367-1NYMDClinical Psychologist
008367NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1437165008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MARSHALL RD",
            "address_2": "SUITE 1B",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904132",
            "telephone_number": "845-297-6198",
            "fax_number": "845-632-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MARSHALL RD",
            "address_2": "SUITE 1B",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904132",
            "telephone_number": "845-297-6198",
            "fax_number": "845-632-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "8367-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.