Individual provider Active NPI

Rana Marie Degil, PSY.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1629170717
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016364 Issued in NY
Practice address
600 E 125TH St
Kirby Forensic Psychatric Center
New York, NY 10035-6000
Phone
(718) 772-1999
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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 016364 NY Primary

Addresses

Primary practice location

600 E 125TH St
Kirby Forensic Psychatric Center
New York, NY 10035-6000

Mailing address

600 E 125TH St
Kirby Forensic Psychiatric Center
New York, NY 10035-6000
Phone (718) 772-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20161207000393 NJ Practitioner - Clinical Psychologist 3971883059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haven Psychotherapy LLCGroup PAC ID 8820497936, 4 clinicians

Practice addresses (Care Compare)

25 Terrell Rd
Lambertville, NJ 08530-3428
Phone (732) 910-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Psychotherapy LLC Clinical CurrentSince Feb 1, 2023 Accepting new patients

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1629170717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 125TH ST",
            "address_2": "KIRBY FORENSIC PSYCHIATRIC CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100356000",
            "telephone_number": "718-772-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 125TH ST",
            "address_2": "KIRBY FORENSIC PSYCHATRIC CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100356000",
            "telephone_number": "718-772-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGIL",
        "first_name": "RANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.