1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Psychologist
  6. NPI Profile

DR. JOSEPH COPPOLO JR. PSY.D
NPI 1619150299
Psychologist - Clinical in Staten Island, NY

Active since December 06, 2007Opted out of Medicare · through Jul 1, 2028
3 WILLIAM AVE, STATEN ISLAND, NY 10308(718) 667-3790(718) 667-3790 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Joseph Coppolo Jr. Psy.d NPPES

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

DR. JOSEPH COPPOLO JR. PSY.D (NPI 1619150299) is an individual clinical provider in Staten Island, New York, licensed in New York (010359) and active in the NPI registry since December 2007. He has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1619150299
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOSEPH COPPOLO JR.Credential: PSY.D
Location Address3 WILLIAM AVEStaten Island, NY 10308-3142
Mailing Address3 William AveStaten Island, NY 10308-3142 · (718) 667-3790 · Fax (718) 667-3790
Phone(718) 667-3790
Fax(718) 667-3790
Sole ProprietorYes
Enumeration DateDecember 6, 2007
✔ NPI 1619150299 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 · 010359
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.
3 WILLIAM AVE, Staten Island, NY 10308
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Joseph Coppolo Jr. Psy.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 July 1, 2018 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2018
Opt-Out In Effect ThroughJuly 1, 2028Opt-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 10308 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.

DR. MERREN KEATING PSY.D.
Psychologist (Clinical)
3 WILLIAM AVE
STATEN ISLAND, NY 10308
Richmond County (718) 227-9779
MR. LOUIS MARCELLINO LCSW
Social Worker
3 WILLIAM AVE
STATEN ISLAND, NY 10308
Richmond County (718) 227-7800

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 Joseph Coppolo's NPI number?

The NPI number for Joseph Coppolo is 1619150299. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Where is Joseph Coppolo located?

Joseph Coppolo practices at 3 William Ave, Staten Island, NY 10308. The listed phone number is (718) 667-3790.

What is Joseph Coppolo's specialty?

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

Is Joseph Coppolo enrolled in Medicare?

No. Joseph Coppolo has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Joseph Coppolo was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.