Active NPI
Diane Marie Scagliola, FPMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Corning, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401884
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331782-1 | Other | NY | RN |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 401884 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penfield Psychiatry PC | Current | Accepting new patients | |
| Family Services of Chemung County, Inc. | Psychiatric/Mental Health | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bath, NY
- NPI 1982709846
-
- Counselor
- Elmira, NY
- NPI 1619922432
Psychiatric/Mental Health
-
- Psychiatry Physician
- Penfield, NY
- NPI 1649544115
-
- Psychiatry Physician
- Coudersport, PA
- NPI 1568618353
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.