Individual provider Active NPI

Carol Irene Reinhardt, PH.D.

  • Clinical Psychologist
  • Penfield, NY
National Provider Identifier
1851482822
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009419 Issued in NY
Practice address
481 Penbrooke Dr
Suite 5
Penfield, NY 14526-2044
Phone
(585) 678-4773
Fax
(585) 678-4387
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 009419 NY Primary

Addresses

Primary practice location

481 Penbrooke Dr
Suite 5
Penfield, NY 14526-2044

Mailing address

481 Penbrooke Dr
Suite 5
Penfield, NY 14526-2044
Phone (585) 678-4773

Other identifiers 9

IdentifierTypeStateIssuer
100294FCOtherNYPREFERRED CARE PIN#
009419OtherNYUNITED BEHAVIORAL HEALTH
009419OtherNYCIGNA
6891437OtherNYEMPIRE PLAN, VALUE OPTION
PO20009419OtherNYBLUE SHIELD PIN#
4588509OtherNYAETNA PIN#
009419OtherNMUNITED HEALTHCARE
PO10009419OtherNYBLUE CHOICE PIN#
PO10009419OtherNYMONROE PLAN PIN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20090123000581 NY Practitioner - Clinical Psychologist 5597829283 Practice locations: Penfield, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lockwood Psychological Services, P. C. Clinical PastSince Feb 1, 1998 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1851482822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 PENBROOKE DR",
            "address_2": "SUITE 5",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262044",
            "telephone_number": "585-678-4773",
            "fax_number": "585-678-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 PENBROOKE DR",
            "address_2": "SUITE 5",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262044",
            "telephone_number": "585-678-4773",
            "fax_number": "585-678-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHARDT",
        "first_name": "CAROL",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PIN#",
            "identifier": "100294FC",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "009419",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "009419",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PLAN, VALUE OPTION",
            "identifier": "6891437",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN#",
            "identifier": "PO20009419",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN#",
            "identifier": "4588509",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "009419",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE PIN#",
            "identifier": "PO10009419",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONROE PLAN PIN#",
            "identifier": "PO10009419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.