Individual provider Active NPI

Claude R Pompo, PH.D.

  • Clinical Psychologist
  • Staten Island, NY
National Provider Identifier
1487735643
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011828 Issued in NY
Practice address
2291 Victory Blvd
Staten Island, NY 10314-6625
Phone
(718) 605-5390
Fax
(718) 605-5390
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 011828 NY
Clinical Psychologist 103TC0700X 011828 NY Primary

Addresses

Primary practice location

2291 Victory Blvd
Staten Island, NY 10314-6625

Mailing address

197 Rensselaer Ave
Staten Island, NY 10312-3011
Phone (718) 605-5390

Other practice location 1

156 W 56th St Ste 1804
New York, NY 10019-3878
Phone (212) 851-8100

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
I20090422000247 NY Practitioner - Clinical Psychologist 0840347209 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Psychassociates LLPGroup PAC ID 3072404888, 33 clinicians

Practice addresses (Care Compare)

156 W 56TH St
Suite 1804
New York, NY 10019-3878
Phone (212) 851-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011828NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychassociates LLP Psychologist CurrentSince Feb 1, 2022 Accepting new patients
Garfinkel & Associates Clinical Past Accepting new patients

Locations

1516 Oriental Blvd
Brooklyn, NY 11235
Phone (212) 342-9301

18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651

40 Keogh Ln
New Rochelle, NY 10805
Phone (914) 636-6200

156 W 56th St
Ste 1804
New York, NY 10019
Phone (212) 851-8100

140 Meisner Ave
Staten Island, NY 10306
Phone (718) 979-1800

25 Fanning St
Staten Island, NY 10314
Phone (347) 671-8399

88 Old Town Rd
Staten Island, NY 10304
Phone (718) 979-4508

85 Bloomingrove Dr
Troy, NY 12180
Phone (212) 851-8100

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1487735643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 RENSSELAER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123011",
            "telephone_number": "718-605-5390",
            "fax_number": "718-605-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146625",
            "telephone_number": "718-605-5390",
            "fax_number": "718-605-5390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 W 56th St Ste 1804",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193878",
            "country_code": "US",
            "telephone_number": "212-851-8100",
            "fax_number": "212-537-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMPO",
        "first_name": "CLAUDE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011828",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.