Individual provider Active NPI

Emett Ornelia McCaskill, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1972088540
Registry record updated Sep 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
022879 Issued in NY
Practice address
23 W 73Rd St Ste 101
New York, NY 10023-3104
Phone
(917) 244-4044
NPI assigned
Sep 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 022879 NY Primary

Addresses

Primary practice location

23 W 73Rd St Ste 101
New York, NY 10023-3104

Mailing address

23 W 73Rd St Ste 101
New York, NY 10023-3104
Phone (917) 244-4044

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224001310 NY Practitioner - Clinical Psychologist 0749761195 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Danforth Ave
Apt 324
Dobbs Ferry, NY 10522-2646

23 W 73Rd St
Suite 101
New York, NY 10023-3104
Phone (917) 244-4044

PO Box
Suite 712260
Salt Lake City, UT 84171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
022879NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emett O McCaskill Clinical CurrentSince Mar 16, 2021 Accepting new patients

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": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538265600000",
    "number": "1972088540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W 73RD ST STE 101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233104",
            "telephone_number": "917-244-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W 73RD ST STE 101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233104",
            "telephone_number": "917-244-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASKILL",
        "first_name": "EMETT",
        "middle_name": "ORNELIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-30",
        "last_updated": "2018-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.