Nichole Ann Cavallaro, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

007939-1 Issued in NY

Practice address

8028 Ginger Rd
Liverpool, NY 13090-2017

Phone

(315) 516-1300

Fax

(315) 516-1300

NPI assigned

Jan 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

State licenses

Practice roles

Locations

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.

• Valera Medical, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437782349

  Mental Health

  NPD

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515196800000",
    "number": "1497262877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 GINGER RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902017",
            "telephone_number": "315-516-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 GINGER RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902017",
            "telephone_number": "315-516-1300",
            "fax_number": "315-516-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLARO",
        "first_name": "NICHOLE",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-06",
        "last_updated": "2018-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007939-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Case, PA-S
• Elizabeth Erin Cassalia, DO
• Alicia Rose Castrello, FNP
• Arturo Medina Castro
• Luz Castro
• Rebecca Cavelli, RN
• Julie Rynee' Cayea, FNP-C
• Elizabeth Cellini, PTA
• Central New York Eye Center
• Central New York Pet LLC

• Mental Health Counselor in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2018; 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.