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HENRY S ROANE
NPI 1467579730
Psychologist - Cognitive & Behavioral in Syracuse, NY

Active since March 23, 2007PECOS Enrolled
600 EAST GENESEE ST, SUITE 130, SYRACUSE, NY 13202(315) 464-3103(315) 464-3944 Get Directions Write a Review

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

About Henry S Roane NPPES

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

HENRY S ROANE (NPI 1467579730) is an individual cognitive & behavioral provider in Syracuse, New York, licensed in New York (018405) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467579730
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameHENRY S ROANE
Location Address600 EAST GENESEE ST, SUITE 130Syracuse, NY 13202
Mailing Address251 Salina Meadows Pkwy, Suite 100Syracuse, NY 13212-4516 · (315) 464-2000 · Fax (315) 464-2010
Phone(315) 464-3103
Fax(315) 464-3944
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 25, 2018
✔ NPI 1467579730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
Licenses✔ Licensed in NY · 018405✔ Licensed in NE · 667
Definition
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.
600 EAST GENESEE ST, Syracuse, NY 13202
Open in Google Maps ↗

Other Identifiers 1

Medicaid10025287200NE

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henry S Roane 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.

Medicare Billing Reassignment

Medicare enrollment records show Henry Roane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Service Group
0.3 mi
Pediatrics
750 E. ADAMS ST., 5TH FLOOR
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group
NPI 1770539066 (315) 464-5450

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

Other Providers at the Same Location NPPES 3

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

KEVIN MARK FAHEY DMD
Dentist (Endodontics)
600 EAST GENESEE ST
SYRACUSE, NY 13202
Onondaga County (315) 476-7406
DR. LEAH KATHRYN PHANEUF PHD
Psychologist
600 EAST GENESEE ST, SUITE 130
SYRACUSE, NY 13202
Onondaga County (315) 464-3103
ENDODONTIC ASSOCIATES PC
Dentist (Endodontics)
600 EAST GENESEE ST, SUITE 113
SYRACUSE, NY 13202
Onondaga County (315) 476-7406

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 Henry Roane's NPI number?

The NPI number for Henry Roane is 1467579730. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Henry Roane located?

Henry Roane practices at 600 East Genesee St Suite 130, Syracuse, NY 13202. The listed phone number is (315) 464-3103.

What is Henry Roane's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Henry Roane enrolled in Medicare?

Yes. Henry Roane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Henry Roane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Roane reassigns Medicare benefits to Pediatric Service Group (Syracuse, NY). The 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 Henry Roane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Henry Roane was last updated on July 25, 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.