JOSEPH VOLLARO PHD NEUROPSYCHOLOGIST PC
NPI 1053888099
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bohemia, NY

Active since October 29, 2018
1461 LAKELAND AVE UNIT 12, BOHEMIA, NY 11716(631) 732-4794(631) 732-0355 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joseph Vollaro Phd Neuropsychologist Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH VOLLARO PHD NEUROPSYCHOLOGIST PC (NPI 1053888099) is a healthcare organization registered as a mental health (including community mental health center) in Bohemia, New York and active in the NPI registry since October 2018. The organization lists Joseph Vollaro, Owner, as its authorized official.

NPPES Registry Identity

NPI1053888099
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJOSEPH VOLLARO PHD NEUROPSYCHOLOGIST PC
Location Address1461 LAKELAND AVE UNIT 12Bohemia, NY 11716-2174
Mailing Address1461 Lakeland Ave Unit 12Bohemia, NY 11716-2174 · (631) 732-4794 · Fax (631) 732-0355
Fax(631) 732-0355
Organization SubpartNo
Authorized OfficialJoseph VollaroOwner · (631) 732-4794
Enumeration DateOctober 29, 2018
✔ NPI 1053888099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1461 LAKELAND AVE UNIT 12, Bohemia, NY 11716

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Vollaro Phd Neuropsychologist Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Joseph Vollaro Phd Neuropsychologist PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1578659058
1461 LAKELAND AVE UNIT 12
Bohemia, NY 11716
(631) 732-4794
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Vollaro Phd Neuropsychologist PC's NPI number?

The NPI number for Joseph Vollaro Phd Neuropsychologist PC is 1053888099. It was assigned to this organization in the NPPES registry on October 29, 2018.

Where is Joseph Vollaro Phd Neuropsychologist PC located?

Joseph Vollaro Phd Neuropsychologist PC is located at 1461 Lakeland Ave Unit 12, Bohemia, NY 11716. The listed phone number is (631) 732-4794.

What is Joseph Vollaro Phd Neuropsychologist PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Joseph Vollaro Phd Neuropsychologist PC enrolled in Medicare?

Yes. Joseph Vollaro Phd Neuropsychologist PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Joseph Vollaro Phd Neuropsychologist PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Joseph Vollaro Phd Neuropsychologist PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Joseph Vollaro Phd Neuropsychologist PC was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.