Laura Ana Scudellari, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

022280 Issued in NY

Practice address

358 Veterans Memorial Hwy
Ste 12
Commack, NY 11725-4326

Phone

(631) 897-6493

NPI assigned

Sep 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Iaso Innovative Recovery Corporation

  • Clinical Psychologist
  • East Northport, NY
  • NPI 1831969161
  NPD

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1992223341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SENECA ST",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311039",
            "telephone_number": "631-897-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 VETERANS MEMORIAL HWY",
            "address_2": "STE 12",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254326",
            "telephone_number": "631-897-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUDELLARI",
        "first_name": "LAURA",
        "middle_name": "ANA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helaine Schwartz
• Jamie Schwartz, LCSW-R, CASAC
• Sarah Joan Schweber, M.D.
• Isabella Sciara, MA,LMHC
• Donna Scocca
• Daniel Charles Scutaro, D.C
• Sean Tendler Mental Health Counseling, P.C.
• Kristi Sedgwick, LMHC
• Angelicca Trisha Seecharan, LICENSED OPTICIAN
• Karen Elizabeth Seeman, LMHC, CASAC

• Clinical Psychologist in Commack, NY
• Providers in Commack, 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 Apr 18, 2019; 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.

Verify at the official NPI Registry.