Individual provider Active NPI

Laura Damico

  • Psychologist
  • Melville, NY
National Provider Identifier
1699019109
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
014342 Issued in NY
Practice address
140 Raspberry CT
Melville, NY 11747-8706
Phone
(631) 748-5467
NPI assigned
Nov 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 014342 NY Primary

Addresses

Primary practice location

140 Raspberry CT
Melville, NY 11747-8706

Mailing address

140 Raspberry CT
Melville, NY 11747-8706
Phone (631) 748-5467

Other practice location 1

1 California St Ste 2300
San Francisco, CA 94111-5424
Phone (800) 997-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130912000576 NY Practitioner - Clinical Psychologist 3173767175 Reassigns benefits to 2 organizations
Practice locations: Melville, NY
I20240402001860 NJ Practitioner - Clinical Psychologist 3173767175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Cerebral Palsy Association of Nassau County IncGroup PAC ID 1153210042, 12 clinicians

Practice addresses (Care Compare)

380 Washington Ave
Roosevelt, NY 11575-1845
Phone (516) 375-2000

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
80.98
Promoting interoperability
83
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Psychologist CurrentSince Mar 1, 2024 Accepting new patients
United Cerebral Palsy Association of Nassau County, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Grow Healthcare Group PA Psychologist CurrentSince Oct 17, 2023 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

380 Washington Ave
Roosevelt, NY 11575
Phone (516) 375-2000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1699019109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 RASPBERRY CT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117478706",
            "telephone_number": "631-748-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 RASPBERRY CT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117478706",
            "telephone_number": "631-748-5467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 California St Ste 2300",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941115424",
            "country_code": "US",
            "telephone_number": "800-997-6196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMICO",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.