DR. THOMAS J SCARAMELLA MD
NPI 1558489260
Psychiatry & Neurology - Psychiatry in Providence, RI
NPI Status: Active since March 27, 2007
Contact Information
480 HOPE ST
PROVIDENCE, RI
ZIP 02906
Phone: (401) 274-3343
Fax: (401) 273-3343
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- PECOS Enrolled
About THOMAS SCARAMELLA
Thomas Scaramella is a provider established in Providence, Rhode Island and his medical specialization is Psychiatry & Neurology with a focus in psychiatry . The healthcare provider is registered in the NPI registry with number 1558489260 assigned on March 2007. The practitioner's primary taxonomy code is 2084P0800X with license number 4852 (RI). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1558489260
- Provider Name
- DR. THOMAS J SCARAMELLA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 480 HOPE ST PROVIDENCE, RI 02906
- Location Phone
- (401) 274-3343
- Location Fax
- (401) 273-3343
- Mailing Address
- 480 HOPE ST PROVIDENCE, RI 02906
- Mailing Phone
- (401) 274-3343
- Mailing Fax
- (401) 273-3343
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-27-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A psychiatrist like Thomas Scaramella are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4852
- License State
- RI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 269001423 | MEDICARE ID-TYPE UNSPECIFIED (04) | RI | MEDICARE |
PECOS Enrollment and Medicare Participation Status
Thomas Scaramella is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Clinician Services
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 246
Psychotherapy, 45 minutes (HCPCS:90836)
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 5 | 8 | 4 | 8 | 9 | 2 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 8 | 8 | 18 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 8 + 8 + 1 + 8 + 2 + 1 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1558489260 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649341868 | MS. FLORENCE C. MCKENNA LICSW Individual | Social Worker (Clinical) | 480 HOPE ST PROVIDENCE, RI 02906 (401) 273-5533 |
| 1558482455 | DR. WILLIAM OSCAR SAMUELS M. D. Individual | Psychiatry & Neurology (Psychiatry) | 480 HOPE ST PROVIDENCE, RI 02906 (401) 272-5550 |
| 1912210386 | WILLIAM SAMUELS, MD INC Organization | Clinic/Center (Adult Mental Health) | 480 HOPE ST PROVIDENCE, RI 02906 (401) 272-5550 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558489260, enumerated in the NPI registry as an "individual" on March 27, 2007
The provider is located at 480 Hope St Providence, Ri 02906 and the phone number is (401) 274-3343
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Psychotherapy, 45 minutes.
This NPI record was last updated on March 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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