Cheryl Ann Card, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

011056-1 Issued in NY

Practice address

29 Lake Shore Dr
South Salem, NY 10590-1311

Phone

(914) 763-5384

NPI assigned

Jul 26, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 28, 2024 through Mar 28, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1861748915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LAKE SHORE DR",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105901311",
            "telephone_number": "914-763-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LAKE SHORE DR",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105901311",
            "telephone_number": "914-763-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARD",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011056-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robbin Lynda Bongiorno
• Ava Borelli
• Erin Bowler
• Jenise Campbell, JD, MSW
• Helen Capellan Collado
• Tracey Lyn Carriera, OTR/L
• Camille Guarino Ciacci, MS
• Nancy Ciancaglini, M.S., CCC-SLP
• Mary-Katherine Ellin Cooke, MA CF-SLP
• Mary Reich Cooper, M.D.

• Clinical Psychologist in South Salem, NY
• Providers in South Salem, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.