Organization Active NPI

Carmel Psychological Health, PC

Doing business as LifeStance Psychology

  • Psychologist
  • Carmel, NY
National Provider Identifier
1720194335
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CARMEL PSYCHOLOGICAL HEALTH, PC
Doing business as
LifeStance Psychology
Practice address
667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455
Phone
(845) 279-5908
Fax
(845) 622-5055
NPI assigned
Aug 23, 2006
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Ryan Pardo
Title
Chief Legal Officer
Phone
(206) 399-1493

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Clinic/Center 261Q00000X

Addresses

Primary practice location

667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (480) 524-0990

Other practice location 1

560 White Plains Rd Ste 215
Tarrytown, NY 10591-5113
Phone (914) 359-5841

Other practice location 2

1 Executive Blvd Bsmt 1
Yonkers, NY 10701-6827
Phone (845) 279-5908

Other practice location 3

1940 Commerce St Ste 309
Yorktown Heights, NY 10598-4449
Phone (914) 245-0437

Other practice location 4

1 Executive Blvd Ste 178
Yonkers, NY 10701-6836
Phone (914) 595-1482

Other practice location 5

1 Radisson Plz Fl 9
New Rochelle, NY 10801-5768
Phone (914) 369-1934

Other practice location 6

110 E 60th St Ste 706
New York, NY 10022-1694
Phone (631) 323-6546

Other practice location 7

83 3rd Ave Ste 300
Brooklyn, NY 11217-2315
Phone (631) 323-6872

Other practice location 8

733 Amsterdam Ave
New York, NY 10025-6330
Phone (845) 279-5908

Other practice location 9

10 Pearl St Fl 2
Port Chester, NY 10573-4611
Phone (914) 265-2762

Other practice location 10

10 Morrissey Dr
Putnam Valley, NY 10579-3019
Phone (845) 284-1570

Other practice location 11

2510 Route 44 Ste F
Salt Point, NY 12578-8040
Phone (845) 768-3178

Other practice location 12

122 W 97TH St
Ste 130 & 140
New York, NY 10025-6330
Phone (631) 323-6580

Other practice location 13

275 Broadhollow Rd Ste 120
Melville, NY 11747-4863
Phone (845) 279-5908

Other names 1

  • LifeStance Psychology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225001248 NY Part B Supplier - Clinic/Group Practice 4385530351 Receives reassigned benefits from 269 practitioners
Practice locations: New York, NY; Yorktown Heights, NY; Yonkers, NY; West Nyack, NY; Tarrytown, NY; Salt Point, NY; Port Chester, NY; New Rochelle, NY…

National Provider Directory

National Provider Directory

Locations

188 W 230th St
Bronx, NY 10463
Phone (718) 796-8165

203 Jay St
Ste 501
Brooklyn, NY 11201
Phone (347) 304-9465

83 3rd Ave
Ste 300
Brooklyn, NY 11217
Phone (631) 323-6872

667 Stoneleigh Ave
#13
Carmel, NY 10512

11835 Queens Blvd
Ste 1630
Forest Hills, NY 11375
Phone (929) 450-5628

1399 Franklin Ave
Ste 302
Garden City, NY 11530

3245 Hunters Point Ave
Ste 2L
Long Island City, NY 11101
Phone (855) 895-3380

275 Broadhollow Rd
Ste 120
Melville, NY 11747
Phone (631) 323-6872

3333 New Hyde Park Rd
Ste 104
New Hyde Park, NY 11042
Phone (332) 245-3191

110 E 60th St
Rm 704
New York, NY 10022
Phone (631) 323-6546

110 E 60th St
Rm 706
New York, NY 10022
Phone (631) 323-6546

122 W 97th St
#130140
New York, NY 10025
Phone (631) 323-6580

122 W 97th St
Ste 130
New York, NY 10025
Phone (631) 323-6580

1501 Broadway
Ste 1505
New York, NY 10036
Phone (332) 245-0300

333 E 34th St
Ofc 1N
New York, NY 10016
Phone (212) 213-8104

733 Amsterdam Ave
New York, NY 10025

10 Pearl St
#2
Port Chester, NY 10573
Phone (914) 265-2762

10 Morrissey Dr
Putnam Valley, NY 10579
Phone (845) 284-1570

2510 Route 44
Ste F
Salt Point, NY 12578
Phone (844) 205-0773

560 White Plains Rd
Ste 215
Tarrytown, NY 10591
Phone (914) 214-3027

1 Crosfield Ave
Ste 104
West Nyack, NY 10994
Phone (845) 499-5072

1 Executive Blvd
Ste 178
Yonkers, NY 10701
Phone (914) 595-1482

Practitioners & affiliated clinicians

Practitioners 418

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 418

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1720194335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "480-524-0990",
            "fax_number": "845-622-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 White Plains Rd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Tarrytown",
            "state": "NY",
            "postal_code": "105915113",
            "country_code": "US",
            "telephone_number": "914-359-5841",
            "fax_number": "845-622-3794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Executive Blvd Bsmt 1",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107016827",
            "country_code": "US",
            "telephone_number": "845-279-5908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 Commerce St Ste 309",
            "address_purpose": "LOCATION",
            "city": "Yorktown Heights",
            "state": "NY",
            "postal_code": "105984449",
            "country_code": "US",
            "telephone_number": "914-245-0437",
            "fax_number": "914-245-0438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Executive Blvd Ste 178",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107016836",
            "country_code": "US",
            "telephone_number": "914-595-1482",
            "fax_number": "845-622-5055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Radisson Plz Fl 9",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108015768",
            "country_code": "US",
            "telephone_number": "914-369-1934",
            "fax_number": "845-622-5055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 E 60th St Ste 706",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221694",
            "country_code": "US",
            "telephone_number": "631-323-6546",
            "fax_number": "845-622-5055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "83 3rd Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112172315",
            "country_code": "US",
            "telephone_number": "631-323-6872",
            "fax_number": "845-622-5055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "733 Amsterdam Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100256330",
            "country_code": "US",
            "telephone_number": "845-279-5908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Pearl St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Port Chester",
            "state": "NY",
            "postal_code": "105734611",
            "country_code": "US",
            "telephone_number": "914-265-2762",
            "fax_number": "914-653-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Morrissey Dr",
            "address_purpose": "LOCATION",
            "city": "Putnam Valley",
            "state": "NY",
            "postal_code": "105793019",
            "country_code": "US",
            "telephone_number": "845-284-1570",
            "fax_number": "845-526-7291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Route 44 Ste F",
            "address_purpose": "LOCATION",
            "city": "Salt Point",
            "state": "NY",
            "postal_code": "125788040",
            "country_code": "US",
            "telephone_number": "845-768-3178",
            "fax_number": "845-622-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 W 97TH ST",
            "address_2": "Ste 130 & 140",
            "address_purpose": "LOCATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256330",
            "country_code": "US",
            "telephone_number": "631-323-6580",
            "fax_number": "845-622-5055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Broadhollow Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117474863",
            "country_code": "US",
            "telephone_number": "845-279-5908",
            "fax_number": "845-622-5055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARMEL PSYCHOLOGICAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "206-399-1493"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStance Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeStance Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.