Active NPI
Linda Cristina Calderon, PSYD
- Clinical Neuropsychologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 022760
- Practice address
- 635 W 165TH St RM 633a
New York, NY 10032-3724 - Phone
- (646) 317-2248
- NPI assigned
- Aug 7, 2018
- Last updated
- Aug 7, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 022760 | NY | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 022760 | NY |
Addresses
Primary practice location
635 W 165TH St RM 633a
New York, NY 10032-3724
Mailing address
635 W 165TH St RM 633a
New York, NY 10032-3724
Phone (646) 317-2248
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Nova Southeastern Univ College of Dental Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Merrick Rd
Rockville Centre, NY 11570-4800
Phone (516) 341-6215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022760 | NY | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Rockaway Neuropsychology, PC | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
100 Merrick Rd
Ofc 510E
Rockville Ctr, NY 11570
100 Merrick Rd
Ste 510
Rockville Ctr, NY 11570
Phone (516) 341-6215
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba East Rockaway Neuropsychology, PC d/b/a Curect Neuropsychology of NY
- Clinical Psychologist
- Rockville Centre, NY
- NPI 1871000950
Clinical Neuropsychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1750860144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 W 165TH ST RM 633A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323724",
"telephone_number": "646-317-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 W 165TH ST RM 633A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323724",
"telephone_number": "646-317-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "LINDA",
"middle_name": "CRISTINA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "022760",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "022760",
"primary": false
}
],
"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 Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.