Active NPI
Velleda C Ceccoli, PHD
- Psychologist
- New York, NY
National Provider Identifier
1720134505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 010171
- Practice address
- 330 W 58TH St
Suite 504
New York, NY 10019-1827 - Phone
- (212) 582-6106
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 010171 | NY | Primary |
Addresses
Primary practice location
330 W 58TH St
Suite 504
New York, NY 10019-1827
Mailing address
330 W 58TH St
Suite 504
New York, NY 10019-1827
Phone (212) 582-6106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 15, 2024 through Apr 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720134505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 W 58TH ST",
"address_2": "SUITE 504",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191827",
"telephone_number": "212-582-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W 58TH ST",
"address_2": "SUITE 504",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191827",
"telephone_number": "212-582-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECCOLI",
"first_name": "VELLEDA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.