LIFESTANCE PSYCHOLOGY
NPI 1720194335
Psychologist in Carmel, NY

NPI Status: Active since August 23, 2006

Contact Information

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512
Phone: (845) 279-5908
Fax: (845) 622-5055

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  • Organization
  • Psychologist

About LIFESTANCE PSYCHOLOGY

This page provides the complete NPI Profile along with additional information for Lifestance Psychology, a provider established in Carmel, New York operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1720194335 assigned on August 2006. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Lifestance Psychology operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Lifestance Psychology. The authorized official of this NPI record is Ryan Pardo (Chief Legal Officer)

NPI
1720194335
Provider Legal Name
CARMEL PSYCHOLOGICAL HEALTH, PC
Other Organization Name
LIFESTANCE PSYCHOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
667 STONELEIGH AVE STE 202 CARMEL, NY 10512
Location Phone
(845) 279-5908
Location Fax
(845) 622-5055
Mailing Address
4800 N SCOTTSDALE RD STE 2500 SCOTTSDALE, AZ 85251
Mailing Phone
(480) 524-0990
Mailing Fax
(845) 622-5055
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2006
Last Update Date
07-02-2024
Code Navigator

A psychologist like Lifestance Psychology studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

Secondary Locations

  • 560 White Plains Rd Ste 215
    Tarrytown, NY 10591
    (914) 359-5841
  • 1 Executive Blvd Bsmt 1
    Yonkers, NY 10701
    (845) 279-5908
  • 1940 Commerce St Ste 309
    Yorktown Heights, NY 10598
    (914) 245-0437
  • 1 Executive Blvd Ste 178
    Yonkers, NY 10701
    (914) 595-1482
  • 110 E 60th St Ste 706
    New York, NY 10022
    (631) 323-6546
  • 83 3rd Ave Ste 300
    Brooklyn, NY 11217
    (631) 323-6872
  • 1 Radisson Plz Fl 9
    New Rochelle, NY 10801
    (914) 369-1934
  • 733 Amsterdam Ave
    New York, NY 10025
    (845) 279-5908
  • 10 Pearl St Fl 2
    Port Chester, NY 10573
    (914) 265-2762
  • 10 Morrissey Dr
    Putnam Valley, NY 10579
    (845) 284-1570
  • 2510 Route 44 Ste F
    Salt Point, NY 12578
    (845) 768-3178
  • 122 W 97TH ST Ste 130 & 140
    NEW YORK, NY 10025
    (631) 323-6580
  • 275 Broadhollow Rd Ste 120
    Melville, NY 11747
    (845) 279-5908

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

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
3261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RYAN PARDO

Authorized Official Title
CHIEF LEGAL OFFICER
Authorized Official Phone
(425) 279-8500

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
05911211MEDICAID (05)NY 

Reviews for LIFESTANCE PSYCHOLOGY

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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.
1720194335
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274029836
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 9 + 8 + 3 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1720194335 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

ASHLEY OLIVETO LMHC

Counselor

(Mental Health)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

CLAUDIA MITCHELL-GAMBINO LMHC

Counselor

(Mental Health)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 230-6115

MR. ANTHONY SHEPPARD LMSW

Social Worker

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

KASEY KING-PETRELLESE LMFT

Marriage & Family Therapist

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

ANNE NADIG LCSW

Social Worker

(Clinical)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 230-6115

JODI WEISBERGER LCSW

Social Worker

(Clinical)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 230-6115

JESSICA MCWILLIAM LMSW

Social Worker

(Clinical)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

RAVEN APONTE LMHC

Counselor

(Mental Health)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

ELIZABETH FOERST LMHC

Counselor

(Mental Health)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

MR. JEREMY J EGGLESTON PHD

Psychologist

(Clinical)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(917) 449-5646

DR. CAROLYN FAY CERTILMAN PSYD

Psychologist

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

NAOMI FISHER DNP-PMHNP

Nurse Practitioner

(Psychiatric/Mental Health)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

JESSICA SALVATORE LCSW

Social Worker

(Clinical)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

CRISTINA REZENDE

Social Worker

(Clinical)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

LISA DOREEN GLUKHOVSKY PHD

Clinical Neuropsychologist

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

DR. SARAH BETH KRIM PMHNP

Nurse Practitioner

(Psychiatric/Mental Health)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

WILFREDO MUNIZ LMHC

Counselor

(Mental Health)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

MARINA MULE LCSW

Social Worker

(Clinical)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

MELISSA ERASMA CINTRON-ARROYO LCSW

Social Worker

(Clinical)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 230-1237

MS. AMANDA NICOLE MOORE LMHC, NCC

Counselor

(Mental Health)

667 STONELEIGH AVE STE 202
CARMEL, NY
ZIP 10512

(845) 279-5908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720194335, enumerated as an "organization" on August 23, 2006.

The provider is located at 667 STONELEIGH AVE STE 202 CARMEL, NY 10512 and the phone number is (845) 279-5908.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.