DR. CHERYL SHEA GELERNTER PH.D.
NPI 1467576116
Psychologist - Clinical in Woodbridge, CT

NPI Status: Active since March 19, 2007

Contact Information

1 BRADLEY RD
SUITE 903
WOODBRIDGE, CT
ZIP 06525
Phone: (203) 397-0653

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • PECOS Enrolled
  • Opted-Out Medicare

About CHERYL GELERNTER

This page provides the complete NPI Profile along with additional information for Cheryl Gelernter, a provider established in Woodbridge, Connecticut with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1467576116 assigned on March 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 001660 (CT). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1467576116
Provider Name
DR. CHERYL SHEA GELERNTER PH.D.
Gender
Female
Entity Type
Individual
Location Address
1 BRADLEY RD SUITE 903 WOODBRIDGE, CT 06525
Location Phone
(203) 397-0653
Mailing Address
1 BRADLEY RD SUITE 903 WOODBRIDGE, CT 06525
Mailing Phone
(203) 397-0653
Is Sole Proprietor?
Yes
Enumeration Date
03-19-2007
Last Update Date
07-08-2007
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A clinical psychologist like Cheryl Gelernter assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Cheryl Gelernter opted out of Medicare effective on 03-08-2018 until 03-08-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
001660
License State
CT
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
060001660CT02OTHER (01)CTANTHEM PROVIDER NUMBER
68000131MEDICARE ID-TYPE UNSPECIFIED (04)CTMEDICARE PROVIDER NUMBER

Medicare Participation & PECOS Enrollment Status

Cheryl Gelernter is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 03-08-2018

  • Opt-Out End Date: 03-08-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06525 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $183.1
  • Minimum New Patient Price $60.82
  • Maximum New Patient Price $183.1
  • Average New Patient Copayment $45.77
  • Minimum New Patient Copayment $15.2
  • Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $106.68
  • Minimum Established Patient Price $19.76
  • Maximum Established Patient Price $149.26
  • Average Established Patient Copayment $26.67
  • Minimum Established Patient Copayment $4.94
  • Maximum Established Patient Copayment $37.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. CHERYL SHEA GELERNTER PH.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467576116
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271071212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 0 + 7 + 1 + 2 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1467576116 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366441826DR. WILLIAM N SCHREIBER MD
Individual
Internal Medicine1 BRADLEY RD SUITE 709
WOODBRIDGE, CT 06525
(203) 397-3950
1104929298 MICHAEL DOW MSPT
Individual
Physical Therapist1 BRADLEY RD SUITE #801
WOODBRIDGE, CT 06525
(203) 389-4593
1720163009 JOEL PAUL MSPT
Individual
Physical Therapist1 BRADLEY RD SUITE #801
WOODBRIDGE, CT 06525
(203) 389-4593
1245371558MRS. SHARON ANN VANCE MSW LCSW
Individual
Social Worker (Clinical)1 BRADLEY RD SUITE 903 WOODBRIDGE OFFICE PARK
WOODBRIDGE, CT 06525
(203) 605-1495
1548399850 GWENDOLYN WORKMAN LMFT
Individual
Marriage & Family Therapist1 BRADLEY RD SUITE 903
WOODBRIDGE, CT 06525
(203) 397-0653
1467585331 KYLE BRANDAY MSPT
Individual
Physical Therapist1 BRADLEY RD SUITE #801
WOODBRIDGE, CT 06525
(203) 389-4593
1407054612HOLLY A. HARRY LCSW, LLC
Organization
Community/Behavioral Health1 BRADLEY RD SUITE 205
WOODBRIDGE, CT 06525
(203) 815-5001
1710187505JOHN W. EDELGLASS M.D., P.C.
Organization
Dermatology (Procedural Dermatology)1 BRADLEY RD SUITE 705
WOODBRIDGE, CT 06525
(203) 389-1185
1588846844MRS. ERIN MICHELLE MIGLIARO APRN
Individual
Nurse Practitioner (Family)1 BRADLEY RD SUITE 502
WOODBRIDGE, CT 06525
(203) 389-2278
1215266929MRS. JAYNE GOLDSTEIN LMFT
Individual
Marriage & Family Therapist1 BRADLEY RD SUITE 903
WOODBRIDGE, CT 06525
(203) 397-0653
1861721458MS. RAVIT AVNI-SINGER MSW LCSW
Individual
Social Worker (Clinical)1 BRADLEY RD SUITE 906
WOODBRIDGE, CT 06525
(203) 389-9174
1811229586 MICHAEL M DEMETRIADES PT
Individual
Physical Therapist1 BRADLEY RD SUITE 801
WOODBRIDGE, CT 06525
(203) 389-4593
1770890535DR. TRACI CIPRIANO PH.D.
Individual
Psychologist (Clinical)1 BRADLEY RD SUITE 206
WOODBRIDGE, CT 06525
(203) 623-2442
1083913560 MICHELLE RAGOZZINE BCBA
Individual
Behavior Analyst1 BRADLEY RD SUITE 905
WOODBRIDGE, CT 06525
(203) 305-5907
1689968992ELEVENTH HOUR, LLC
Organization
Registered Nurse (Psychiatric/Mental Health, Adult)1 BRADLEY RD SUITE 14
WOODBRIDGE, CT 06525
(203) 996-5281
1265784607MS. BEVERLEY CHARMAINE PHILLIPS-LEWIS LCSW
Individual
Social Worker (Clinical)1 BRADLEY RD SUITE 905
WOODBRIDGE, CT 06525
(203) 298-9005
1750334801 STEPHANIE ESPOSITO APRN
Individual
Nurse Practitioner (Primary Care)1 BRADLEY RD SUITE 709
WOODBRIDGE, CT 06525
(203) 397-3950
1578873451 LINDSAY ANN RICHARD DPT
Individual
Physical Therapist1 BRADLEY RD SUITE 801
WOODBRIDGE, CT 06525
(203) 389-4593
1225443708 ASHLEY DONOVAN
Individual
Social Worker (Clinical)1 BRADLEY RD 905
WOODBRIDGE, CT 06525
(203) 298-9005
1174902084CONNECTICUT PSYCHIATRIC & WELLNESS CENTER
Organization
Community/Behavioral Health1 BRADLEY RD 404
WOODBRIDGE, CT 06525
(203) 298-9005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467576116, enumerated in the NPI registry as an "individual" on March 19, 2007

The provider is located at 1 Bradley Rd Suite 903 Woodbridge, Ct 06525 and the phone number is (203) 397-0653

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $183.1 with an average copayment of $45.77 for new patient appointments. Established patients should expect a typical charge of $106.68 and an average copayment of 26.67. Please review your insurance plan or contact the provider directly to determine your specific costs.

No, the provider signed an affidavit on March 08, 2018 to opt-out of the Medicare program. The provider is excluded from the Medicare program until March 08, 2026.

This NPI record was last updated on March 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.