Carmelina Peralta, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

011594 Issued in NY

Practice address

4 Huntington Rd
Huntington, NY 11743-1703

Phone

(631) 271-3319

NPI assigned

Jan 12, 2007

Last updated

Nov 16, 2020By the provider in NPPES

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

Other names 1

• Carmen Peralta Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1912057597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HUNTINGTON RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431703",
            "telephone_number": "631-271-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HUNTINGTON RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431703",
            "telephone_number": "631-271-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "CARMELINA",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "PERALTA",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan M Penders, RN
• Jocelyn Marie Pensa
• Frederick Penzel, PH.D.
• Wendy R. Penzel, PSY.D.
• Gina Penzi Luxemberg, D.O.
• Luz M Peralta, DNP
• Andrew L Peredo, MD
• Selwyn Jack Pereira, MD
• Jose M Perez, MD
• Alexander Perissi, PT

• Clinical Psychologist in Huntington, NY
• Providers in Huntington, 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 Nov 16, 2020; 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.

Verify at the official NPI Registry.