Individual provider Active NPI

Rachell Pierre-Louis, PSY.D, NCSP

  • School Psychologist
  • Wantagh, NY
National Provider Identifier
1871241356
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
024321 Issued in NY
Practice address
2175 Wantagh Ave Ste 103
Wantagh, NY 11793-3925
Phone
(631) 392-8245
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 024321 NY
Clinical Child & Adolescent Psychologist 103TC2200X 024321 NY
School Psychologist 103TS0200X 024321 NY Primary

Addresses

Primary practice location

2175 Wantagh Ave Ste 103
Wantagh, NY 11793-3925

Mailing address

821 Prospect Ave Apt 4a
Westbury, NY 11590-3779
Phone (516) 507-2487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
024321NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Rachell Pierre-Louis, Psychologist, PC Clinical Child & Adolescent CurrentSince Jul 7, 2024 Accepting new patients

Locations

2175 Wantagh Ave
Ste 103
Wantagh, NY 11793
Phone (631) 392-8245

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": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1871241356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PROSPECT AVE APT 4A",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903779",
            "telephone_number": "516-507-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 WANTAGH AVE STE 103",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933925",
            "telephone_number": "631-392-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE-LOUIS",
        "first_name": "RACHELL",
        "name_prefix": "Dr.",
        "credential": "PSY.D, NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024321",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "024321",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "024321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.