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CAROL HARRIET SPRAFKIN PHD
NPI 1417097247
Psychologist - Clinical in Stony Brook, NY

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
207 HALLOCK ROAD, SUITE 204, STONY BROOK, NY 11790(631) 698-4005 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol Harriet Sprafkin Phd NPPES

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

CAROL HARRIET SPRAFKIN PHD (NPI 1417097247) is an individual clinical provider in Stony Brook, New York, licensed in New York (0090451) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1417097247
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCAROL HARRIET SPRAFKINCredential: PHD
Location Address207 HALLOCK ROAD, SUITE 204Stony Brook, NY 11790
Mailing Address207 Hallock Road, Suite 204Stony Brook, NY 11790 · (631) 698-4005
Phone(631) 698-4005
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417097247 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 · 0090451
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.
207 HALLOCK ROAD, Stony Brook, NY 11790
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Other Identifiers 3

Medicare ID-Type UnspecifiedV55051
Other067038Value Options
Other6802314Ghi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carol Harriet Sprafkin Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830383371
PECOS Enrollment IDI20101028001469
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 11790 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 2

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

EAST BILLOW ACUPUNCTURE, P.C.
Acupuncturist
207 HALLOCK ROAD, STE 209
STONY BROOK, NY 11790
Suffolk County (631) 338-8516
FRIENDLY MEDICAL GROUP PC
Pediatrics
207 HALLOCK ROAD
STONY BROOK, NY 11790
Suffolk County (631) 689-6226

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 Sprafkin's NPI number?

The NPI number for Carol Sprafkin is 1417097247. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Carol Sprafkin located?

Carol Sprafkin practices at 207 Hallock Road Suite 204, Stony Brook, NY 11790. The listed phone number is (631) 698-4005.

What is Carol Sprafkin's specialty?

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

Is Carol Sprafkin enrolled in Medicare?

Yes. Carol Sprafkin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carol Sprafkin accept?

Health plans from Providence Health Plan list Carol Sprafkin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carol Sprafkin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.