Carmela R Cancellieri, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

141942 Issued in NY

Practice address

1 Stone PL
Suite 302
Bronxville, NY 10708-3426

Phone

(914) 337-0754

Fax

(914) 337-6493

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740328277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 DRISLER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106072402",
            "telephone_number": "914-324-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STONE PL",
            "address_2": "SUITE 302",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083426",
            "telephone_number": "914-337-0754",
            "fax_number": "914-337-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCELLIERI",
        "first_name": "CARMELA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "141942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00901455",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI (GROUP HEALTH INS)",
            "identifier": "0099878",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "73289510",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liza Cabrera
• Anthony Cairo, PHARMD
• Josephine Calvi
• Melissa Campanella
• Kathleen M Campbell, R.D.
• Niesha Canselo, RN, IBCLC
• Deborah Cappell, MD
• Catherine Caputo
• Marina Angelina Carducci-Kaye, DNP, CRNA
• Mary Ann Carini Giordano, CSW

• Psychiatry Physician in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Psychiatry Physician in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.