Individual provider Active NPI

Steven Howard Padnick, PH.D

  • Psychologist
  • Commack, NY
National Provider Identifier
1730209727
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
008998 Issued in NY
Practice address
66 Harned Rd
Commack, NY 11725-3527
Phone
(631) 543-8577
Fax
(631) 543-8573
NPI assigned
Mar 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 008998 NY Primary

Addresses

Primary practice location

66 Harned Rd
Commack, NY 11725-3527

Mailing address

66 Harned Rd
Commack, NY 11725-3527
Phone (631) 543-8577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000996 NY Practitioner - Clinical Psychologist 1850370859 Practice locations: Commack, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 Harned Rd
Suite 4
Commack, NY 11725-3527
Phone (631) 543-8577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
008998NYMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1730209727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 HARNED RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253527",
            "telephone_number": "631-543-8577",
            "fax_number": "631-543-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 HARNED RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253527",
            "telephone_number": "631-543-8577",
            "fax_number": "631-543-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADNICK",
        "first_name": "STEVEN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "008998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.