STEPHANIE CARLSON PSYCHOLOGIST
NPI 1508977950
Psychologist - Clinical in Bronx, NY

NPI Status: Active since August 31, 2006

Contact Information

5676 RIVERDALE AVE
STE. 202
BRONX, NY
ZIP 10471
Phone: (718) 796-5300

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

About STEPHANIE CARLSON

This page provides the complete NPI Profile along with additional information for Stephanie Carlson, a provider established in Bronx, New York with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1508977950 assigned on August 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 010343-1 (NY). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1508977950
Provider Name
STEPHANIE CARLSON PSYCHOLOGIST
Gender
Female
Entity Type
Individual
Location Address
5676 RIVERDALE AVE STE. 202 BRONX, NY 10471
Location Phone
(718) 796-5300
Mailing Address
5676 RIVERDALE AVE STE. 202 BRONX, NY 10471
Mailing Phone
(718) 796-5300
Is Sole Proprietor?
No
Enumeration Date
08-31-2006
Last Update Date
07-08-2007
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A clinical psychologist like Stephanie Carlson 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. Stephanie Carlson opted out of Medicare effective on 08-20-2024 until 08-20-2026. 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 and cannot 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.
010343-1
License State
NY
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.

Medicare Participation & PECOS Enrollment Status

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.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 08-20-2024

  • Opt-Out End Date: 08-20-2026

  • Eligible to Order and Refer? No

Reviews for STEPHANIE CARLSON PSYCHOLOGIST

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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.
1508977950
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
250818714910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 8 + 7 + 1 + 4 + 9 + 1 + 0 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1508977950 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205827714DR. LESLIE B RUBIN DPM
Individual
Podiatrist5676 RIVERDALE AVE SUITE 201
RIVERDALE, NY 10471
(718) 549-2700
1386680122 RONNIE KAGLE LCSW
Individual
Social Worker (Clinical)5676 RIVERDALE AVE STE, 202
BRONX, NY 10471
(718) 796-5300
1285660209DR. BRENDA L BERRY MD
Individual
Psychiatry & Neurology (Psychiatry)5676 RIVERDALE AVE RIVERDALE MHC
BRONX, NY 10471
(718) 796-5300
1144256942MR. ROBERT A BADER LCSW
Individual
Social Worker (Clinical)5676 RIVERDALE AVE SUITE 202
BRONX, NY 10471
(718) 796-5300
1366471476 ROBERT M BREWSTER LCSW
Individual
Social Worker (Clinical)5676 RIVERDALE AVE
BRONX, NY 10471
(718) 796-5300
1578593406DR. DONNA DEMETRI FRIEDMAN PH.D., LCSW
Individual
Social Worker (Clinical)5676 RIVERDALE AVE STE. 202
BRONX, NY 10471
(718) 796-5300
1649202292 DONNA M PAROFF-SHERMAN LCSW, ACSW
Individual
Social Worker (Clinical)5676 RIVERDALE AVE
BRONX, NY 10471
(718) 796-5300
1497770127MS. ARLENE KLINGMAN LCSW
Individual
Social Worker (Clinical)5676 RIVERDALE AVE RIVERDALE MENTAL HEALTH ASSOCIATION
BRONX, NY 10471
(718) 796-5300
1649291972DR. ALEXANDRA TATE WHORISKEY M.D.
Individual
Psychiatry & Neurology (Psychiatry)5676 RIVERDALE AVE
BRONX, NY 10471
(718) 796-5300
1578668190 ANTONIA B SALMERE RN, LCSW
Individual
Registered Nurse5676 RIVERDALE AVE
BRONX, NY 10471
(718) 796-5300
1902902877 JENNIE MENA-DIAZ MSW
Individual
Counselor (Mental Health)5676 RIVERDALE AVE SUITE 202
BRONX, NY 10471
(718) 796-5300
1538267604DR. MOIRA J KENNEDY MD
Individual
Psychiatry & Neurology (Psychiatry)5676 RIVERDALE AVE
BRONX, NY 10471
(718) 796-5300
1235238064 OSMAN MARIANO
Individual
Counselor (Mental Health)5676 RIVERDALE AVE STE. 202
BRONX, NY 10471
(718) 796-5300
1447358452 RITA LIEGNER LMHC
Individual
Counselor (Mental Health)5676 RIVERDALE AVE
BRONX, NY 10471
(718) 796-5300
1619076486 GALINA BASS MD
Individual
Psychiatry & Neurology (Psychiatry)5676 RIVERDALE AVE
BRONX, NY 10471
(718) 796-5300
1780776260 DANIELLE ASHBY
Individual
Counselor (Mental Health)5676 RIVERDALE AVE STE. 202
BRONX, NY 10471
(718) 796-5300
1184717274 LETICIA RAMIREZ
Individual
Counselor (Mental Health)5676 RIVERDALE AVE
BRONX, NY 10471
(718) 796-5300
1114010105 ANA FLORES
Individual
Counselor (Mental Health)5676 RIVERDALE AVE
BRONX, NY 10471
(718) 796-5300
1093881286 RASHEEDAT SAHEED
Individual
Social Worker (Clinical)5676 RIVERDALE AVE
BRONX, NY 10471
(718) 614-7029
1306996574MS. SUSAN HERSCHAFT
Individual
Counselor5676 RIVERDALE AVE STE 202
BRONX, NY 10471
(718) 796-5300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508977950, enumerated in the NPI registry as an "individual" on August 31, 2006

The provider is located at 5676 Riverdale Ave Ste. 202 Bronx, Ny 10471 and the phone number is (718) 796-5300

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

No, the provider signed an affidavit on August 20, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 20, 2026.

This NPI record was last updated on August 31, 2006. 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.