HENRY S ROANE
NPI 1467579730
Psychologist - Cognitive & Behavioral in Syracuse, NY

NPI Status: Active since March 23, 2007

Contact Information

600 EAST GENESEE ST
SUITE 130
SYRACUSE, NY
ZIP 13202
Phone: (315) 464-3103
Fax: (315) 464-3944

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  • Individual
  • Male
  • Psychologist
  • Cognitive & Behavioral
  • PECOS Enrolled

About HENRY ROANE

This page provides the complete NPI Profile along with additional information for Henry Roane, a provider established in Syracuse, New York with a medical specialization in Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1467579730 assigned on March 2007. The practitioner's primary taxonomy code is 103TB0200X with license number 018405 (NY). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1467579730
Provider Name
HENRY S ROANE
Gender
Male
Entity Type
Individual
Location Address
600 EAST GENESEE ST SUITE 130 SYRACUSE, NY 13202
Location Phone
(315) 464-3103
Location Fax
(315) 464-3944
Mailing Address
251 SALINA MEADOWS PKWY SUITE 100 SYRACUSE, NY 13212
Mailing Phone
(315) 464-2000
Mailing Fax
(315) 464-3944
Is Sole Proprietor?
No
Enumeration Date
03-23-2007
Last Update Date
07-25-2018
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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 Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
License No.
018405
License State
NY
Taxonomy Description
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

667 (NE)

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.

*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
10025287200MEDICAID (05)NE 

Medicare Participation & PECOS Enrollment Status

Henry Roane 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

  • 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

Reviews for HENRY S ROANE

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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.
1467579730
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271071876
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 + 8 + 7 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1467579730 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124210919 KEVIN MARK FAHEY DMD
Individual
Dentist (Endodontics)600 EAST GENESEE ST
SYRACUSE, NY 13202
(315) 476-7406
1598992901DR. LEAH KATHRYN PHANEUF PHD
Individual
Psychologist600 EAST GENESEE ST SUITE 130
SYRACUSE, NY 13202
(315) 464-3103
1912919184ENDODONTIC ASSOCIATES PC
Organization
Dentist (Endodontics)600 EAST GENESEE ST SUITE 113
SYRACUSE, NY 13202
(315) 476-7406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467579730, enumerated in the NPI registry as an "individual" on March 23, 2007

The provider is located at 600 East Genesee St Suite 130 Syracuse, Ny 13202 and the phone number is (315) 464-3103

The provider's speciality is Psychologist with taxonomy code 103TB0200X with a focus in Cognitive & Behavioral

The provider might be accepting Accepts: 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).

This NPI record was last updated on March 23, 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].
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