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TANYA PELLETTIERE PHD
NPI 1336223387
Psychologist - Clinical in Syracuse, NY

Active since October 25, 2006PECOS Enrolled
4317 E GENESEE ST STE 205, SYRACUSE, NY 13214(315) 430-8040 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tanya Pellettiere Phd NPPES

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

TANYA PELLETTIERE PHD (NPI 1336223387) is an individual clinical provider in Syracuse, New York, licensed in New York (015070-1) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336223387
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTANYA PELLETTIERECredential: PHD
Location Address4317 E GENESEE ST STE 205Syracuse, NY 13214-2200
Mailing Address4317 E Genesee St Ste 205Syracuse, NY 13214-2200 · (315) 430-8040
Phone(315) 430-8040
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateJanuary 7, 2020
✔ NPI 1336223387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 015070-1
Definition
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.
4317 E GENESEE ST STE 205, Syracuse, NY 13214
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Other Identifiers 1

Medicaid02332456NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanya Pellettiere Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tanya Pellettiere's NPI number?

The NPI number for Tanya Pellettiere is 1336223387. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Tanya Pellettiere located?

Tanya Pellettiere practices at 4317 E Genesee St Ste 205, Syracuse, NY 13214. The listed phone number is (315) 430-8040.

What is Tanya Pellettiere's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tanya Pellettiere enrolled in Medicare?

Yes. Tanya Pellettiere is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanya Pellettiere was last updated on January 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.