Individual provider Active NPI

Diane Marie Scagliola, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Corning, NY
National Provider Identifier
1942587365
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401884 Issued in NY
Practice address
1860 Whiskey Creek Rd
Corning, NY 14830-9306
Phone
(607) 962-0404
NPI assigned
Nov 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401884 NY Primary

Addresses

Primary practice location

1860 Whiskey Creek Rd
Corning, NY 14830-9306

Mailing address

115 Liberty St
Bath, NY 14810-1508
Phone (607) 664-2255

Other identifiers 1

IdentifierTypeStateIssuer
331782-1OtherNYRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151102001878 NY Practitioner - Nurse Practitioner 2961712088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of SteubenGroup PAC ID 3375522642, 17 clinicians

Practice addresses (Care Compare)

115 Liberty St
Bath, NY 14810-1508
Phone 60766422554066

3 E Pulteney SQ
Bath, NY 14810-1510
Phone 60766422554066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
401884NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penfield Psychiatry PC CurrentSince Oct 1, 2025 Accepting new patients
Family Services of Chemung County, Inc. Psychiatric/Mental Health CurrentSince Feb 13, 2017 Accepting new patients
Western New York Med-Psych PLLC Past Accepting new patients

Locations

1019 E Water St
Elmira, NY 14901
Phone (607) 733-5696

481 Penbrooke Dr
Ste 6
Penfield, NY 14526
Phone (585) 388-1110

2060 Fairport Nine Mile Point Rd
Ste 400
Penfield, NY 14526
Phone (585) 388-6000

Organizations & group practices 4

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": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1942587365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LIBERTY ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101508",
            "telephone_number": "607-664-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 WHISKEY CREEK RD",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148309306",
            "telephone_number": "607-962-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAGLIOLA",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FPMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "331782-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.