DR. AMANDA LEA GRODEWALD-ADLER PSY.D.
NPI 1144520768
Psychologist - Cognitive & Behavioral in Centereach, NY
NPI Status: Active since October 29, 2010
Contact Information
1919 MIDDLE COUNTRY RD
SUITE 308
CENTEREACH, NY
ZIP 11720
Phone: (631) 209-5343
Fax: (631) 648-7655
- Individual
- Female
- Years of Experience 16
- Psychologist
- Cognitive & Behavioral
- Accepts Medicare Approved Payment
- PECOS Enrolled
About AMANDA GRODEWALD-ADLER
This page provides the complete NPI Profile along with additional information for Amanda Grodewald-adler, a provider established in Centereach, New York with a medical specialization in Psychologist, focusing in cognitive & behavioral and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1144520768 assigned on October 2010. The practitioner's primary taxonomy code is 103TB0200X with license number P77977 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1144520768
- Provider Name
- DR. AMANDA LEA GRODEWALD-ADLER PSY.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1919 MIDDLE COUNTRY RD SUITE 308 CENTEREACH, NY 11720
- Location Phone
- (631) 209-5343
- Location Fax
- (631) 648-7655
- Mailing Address
- 1919 MIDDLE COUNTRY RD SUITE 308 CENTEREACH, NY 11720
- Mailing Phone
- (631) 209-5343
- Mailing Fax
- (631) 648-7655
- Medical School Name
- OTHER
- Graduation Year
- 2010
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-29-2010
- Last Update Date
- 10-21-2014
- Code Navigator
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.
- P77977
- 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.
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 |
---|---|---|---|
A300066521 | OTHER (01) | NY | MEDICARE PTAN |
Medicare Participation & PECOS Enrollment Status
Amanda Grodewald-adler is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Amanda Grodewald-adler 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
PECOS PAC ID: 9436310422
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120419000040
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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 DR. AMANDA LEA GRODEWALD-ADLER PSY.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. | |||||||||
1 | 1 | 4 | 4 | 5 | 2 | 0 | 7 | 6 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 8 | 4 | 10 | 2 | 0 | 7 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 8 + 4 + 1 + 0 + 2 + 0 + 7 + 1 + 2 + 24 = 52 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 52 = 8 | 8 |
The NPI number 1144520768 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
DR. SEAN BARRY HAGGERTY PH.D.
Psychologist
(Clinical)
1919 MIDDLE COUNTRY RD
SUITE 201
CENTEREACH, NY
ZIP 11720
MRS. CYNTHIA B KEALEY APRN BC PSYCH CLINIC
Registered Nurse
1919 MIDDLE COUNTRY RD
STE 202
CENTEREACH, NY
ZIP 11720
VISION SCREENING
Exclusive Provider Organization
1919 MIDDLE COUNTRY RD
CENTEREACH, NY
ZIP 11720
DR. ANTHONY J ANZALONE PSY.D.
Psychologist
(Cognitive & Behavioral)
1919 MIDDLE COUNTRY RD
CENTEREACH, NY
ZIP 11720
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144520768, enumerated as an "individual" on October 29, 2010.
The provider is located at 1919 MIDDLE COUNTRY RD SUITE 308 CENTEREACH, NY 11720 and the phone number is (631) 209-5343.
Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.