DR. CAROL A. CANNELLA PSY.D.
NPI 1215128954
Psychologist in Baldwin, NY

Active since August 07, 2007Opted out of Medicare · through Apr 1, 2028
2277 GRAND AVE, BALDWIN, NY 11510(516) 377-5400(516) 377-5490 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carol A. Cannella Psy.d. NPPES

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

DR. CAROL A. CANNELLA PSY.D. (NPI 1215128954) is an individual psychologist in Baldwin, New York and active in the NPI registry since August 2007. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215128954
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CAROL A. CANNELLACredential: PSY.D.
Location Address2277 GRAND AVEBaldwin, NY 11510-3148
Mailing Address2277 Grand AveBaldwin, NY 11510-3148 · (516) 377-5400
Fax(516) 377-5490
Sole ProprietorYes
Enumeration DateAugust 7, 2007
Last NPPES UpdateMay 9, 2012
NPI 1215128954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2277 GRAND AVE, Baldwin, NY 11510

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Carol A. Cannella Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2277 GRAND AVE
BALDWIN, NY 11510
Social Worker
2277 GRAND AVE
BALDWIN, NY 11510
Social Worker (Clinical)
2277 GRAND AVE
BALDWIN, NY 11510
Psychologist
2277 GRAND AVE
BALDWIN, NY 11510
Psychiatry & Neurology (Psychiatry)
2277 GRAND AVE
BALDWIN, NY 11510
Social Worker
2277 GRAND AVE
BALDWIN, NY 11510
Psychiatry & Neurology (Psychiatry)
2277 GRAND AVE
BALDWIN, NY 11510
Social Worker (Clinical)
2277 GRAND AVE
BALDWIN, NY 11510

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 Carol Cannella's NPI number?

The NPI number for Carol Cannella is 1215128954. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Carol Cannella located?

Carol Cannella practices at 2277 Grand Ave, Baldwin, NY 11510. The listed phone number is (516) 377-5400.

What is Carol Cannella's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Carol Cannella enrolled in Medicare?

No. Carol Cannella has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carol Cannella was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.