Allyson Havill PHD
Organization Active NPI Clinical Psychologist · Pine Bush, NY
NPI 1679425706 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1679425706
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- ALLYSON HAVILL PHD
- Practice address
- 127 State Route 302 Ste 4
Pine Bush, NY 12566-7134 - Phone
- (845) 654-7267
- NPI assigned
- Feb 11, 2026
- Organization subpart
- No
Authorized official
- Name
- Judi Scinico
- Title
- Credentialing
- Phone
- (412) 445-4652
Practitioners 1
-
Allyson Havill, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260507001943 | NY | Part B Supplier - Clinic/Group Practice | 7719455765 |
Receives reassigned benefits from 1 practitioner Practice locations: Pine Bush, NY |
National Provider Directory
Locations
127 State Route 302
Ste 4
Pine Bush, NY 12566
Phone (724) 814-1492
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
127 State Route 302 Ste 4
Pine Bush, NY 12566-7134
Mailing address
127 State Route 302 Ste 4
Pine Bush, NY 12566-7134
Phone (845) 654-7267
Other providers in Pine Bush, NY
- Advanced Pain Relief Therapies, Inc.
- Adam Musa Al-Haraizeh
- Imtiaz Aslam
- Jennifer M Bagley
- Jane Brady-McKane
- Damon Thomas Brecheisen
- Christine Lynn Burley
All providers in Pine Bush, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.