Mary E Procidano, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8028 Issued in NY

Practice address

14 Harwood CT
Suite 421
Scarsdale, NY 10583-4121

Phone

(914) 725-4226

Fax

(914) 725-1285

NPI assigned

Aug 18, 2006

Last updated

Oct 28, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1679687842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HARWOOD CT",
            "address_2": "SUITE 421",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834121",
            "telephone_number": "914-725-4226",
            "fax_number": "914-725-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HARWOOD CT",
            "address_2": "SUITE 421",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834121",
            "telephone_number": "914-725-4226",
            "fax_number": "914-725-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCIDANO",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "8028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Scarsdale, NY
• Providers in Scarsdale, 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 Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.