Jeremy Joseph Eggleston, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021868 Issued in NY

Practice address

2510 Route 44 Ste F
Salt Point, NY 12578-8040

Phone

(845) 768-3178

Fax

(845) 622-3636

NPI assigned

Mar 30, 2007

Last updated

May 20, 2026By the provider in NPPES

Sex

Male

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

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

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpa.jeremyeggleston-colon@142175.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carmel Psychological Health, PC

  dba LifeStance Psychology

  • Psychologist
  • Carmel, NY
  • NPI 1720194335
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1669592986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 202",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122455",
            "telephone_number": "845-279-5908",
            "fax_number": "845-622-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 ROUTE 44 STE F",
            "city": "SALT POINT",
            "state": "NY",
            "postal_code": "125788040",
            "telephone_number": "845-768-3178",
            "fax_number": "845-622-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "667 Stoneleigh Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "105122455",
            "country_code": "US",
            "telephone_number": "845-279-5908",
            "fax_number": "845-622-5055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "JEREMY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helene Maria Czech, MSED, SDA, BCBA, LBA
• Beth Mary Darlington, PHD CERT PSYA NYSLIC
• Dr John Wat, Dabfm, P.C.
• Early Interventions Licensed Behavior Analyst Ny PLLC
• Early Interventions Ny LLC
• Pola Fay Eisenstein-Rosan, PH. D.
• Jacquelyn Elbel, PHD
• Melanie Gerber, LMHC
• Nicole M Haight
• Christine Marie Henry, PA-C

• Clinical Psychologist in Salt Point, NY
• Providers in Salt Point, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.