Michele Stefano Piccolo, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

021880 Issued in NY

Practice address

125 E 23Rd St Ste 304
New York, NY 10010-4576

Phone

(646) 598-7782

Fax

(646) 810-3934

NPI assigned

Jan 5, 2016

Last updated

Jan 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bleuler Psychotherapy Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Forest Hills, NY
  • NPI 1801949706
  Medicare reassignment NPD

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1932565082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E 23RD ST STE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104576",
            "telephone_number": "646-598-7782",
            "fax_number": "646-810-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 23RD ST STE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104576",
            "telephone_number": "646-598-7782",
            "fax_number": "646-810-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCOLO",
        "first_name": "MICHELE",
        "middle_name": "STEFANO",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "021880",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE IN PSYCHOLOGY",
            "identifier": "021880",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTER HEALTH SERVICE PSYCHOLOGIST",
            "identifier": "55588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Piccirillo, PA
• Kelly Elizabeth Picciurro, PT, DPT
• Suzanne Picciurro
• Samantha Piccolino
• Sophia Tsesmelis Piccolino, DSW, LCSW
• Stephanie Piccolo, AGPCNP-DNP
• Katherine Jane Picconi, FNP
• Danielle Elizabeth Picerni, M.S. CCC-SLP
• Pavel Salvador Pichardo Rojas
• Amy Pichardo, LCSW, M-CASAC

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.