KANDACE R LICCIARDI M.D.
NPI 1538425137
Psychiatry & Neurology - Psychiatry in Staten Island, NY

Q: What is Kandace Licciardi's NPI number?

The NPI number for Kandace Licciardi is 1538425137. It was assigned to this individual provider in the NPPES registry on April 9, 2012. The provider is also known as Kandace R Mcalister MD.

Q: What is Kandace Licciardi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Kandace Licciardi enrolled in Medicare?

No. Kandace Licciardi has opted out of Medicare through May 18, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for Kandace Licciardi was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 09, 2012Opted out of Medicare · through May 18, 2027

392 SEGUINE AVE, STATEN ISLAND, NY 10309(718) 226-2275 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kandace R Licciardi M.d. NPPES

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

KANDACE R LICCIARDI M.D. (NPI 1538425137) is an individual psychiatry provider in Staten Island, New York, licensed in New York (285000) and active in the NPI registry since April 2012. She has opted out of Medicare through May 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538425137

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameKANDACE R LICCIARDICredential: M.D.

Location Address392 SEGUINE AVEStaten Island, NY 10309-3906

Mailing Address392 Seguine AveStaten Island, NY 10309-3906 · (718) 226-2275

Phone(718) 226-2275

Sole ProprietorNo

Enumeration DateApril 9, 2012

Last NPPES UpdateNovember 14, 2019

✔ NPI 1538425137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 285000

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

392 SEGUINE AVE, Staten Island, NY 10309

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Other Names 1

Former Name (1)Kandace R Mcalister Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kandace R Licciardi M.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 May 18, 2021 through May 18, 2027.

Opt-Out Effective DateMay 18, 2021

Opt-Out In Effect ThroughMay 18, 2027Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10309 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

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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 20

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

SHARON CARLO-AMATO LCSW

Social Worker (Clinical)