Active NPI
Carol Irene Reinhardt, PH.D.
- Clinical Psychologist
- Penfield, NY
National Provider Identifier
1851482822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 009419
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100294FC | Other | NY | PREFERRED CARE PIN# |
| 009419 | Other | NY | UNITED BEHAVIORAL HEALTH |
| 009419 | Other | NY | CIGNA |
| 6891437 | Other | NY | EMPIRE PLAN, VALUE OPTION |
| PO20009419 | Other | NY | BLUE SHIELD PIN# |
| 4588509 | Other | NY | AETNA PIN# |
| 009419 | Other | NM | UNITED HEALTHCARE |
| PO10009419 | Other | NY | BLUE CHOICE PIN# |
| PO10009419 | Other | NY | MONROE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lockwood Psychological Services, P. C. | Clinical | Past | 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.
-
- Clinical Psychologist
- Pittsford, NY
- NPI 1629169610
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.