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TRACIE CACCAVALE PH.D.
NPI 1720499148
Psychologist - Clinical in Pine Bush, NY

Active since May 20, 2014PECOS Enrolled
100/100
CMS Quality Rating
78 QUANNACUT RD, PINE BUSH, NY 12566(845) 873-0104 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracie Caccavale Ph.d. NPPES

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

TRACIE CACCAVALE PH.D. (NPI 1720499148) is an individual clinical provider in Pine Bush, New York, licensed in New York (021270) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1720499148
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTRACIE CACCAVALECredential: PH.D.
Location Address78 QUANNACUT RDPine Bush, NY 12566-5431
Mailing Address78 Quannacut RdPine Bush, NY 12566-5431 · (845) 873-0104
Phone(845) 873-0104
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMay 20, 2014
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1720499148 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 · 021270
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.
78 QUANNACUT RD, Pine Bush, NY 12566
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracie Caccavale Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284029141
PECOS Enrollment IDI20220312000003
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
87 services33 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12566 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
$187.05 typical visit price
range $61.88 – $187.05
Typical copayment $46.76 (range $15.47 – $46.76)
Most-billed visit code 99205
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40

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 Tracie Caccavale's NPI number?

The NPI number for Tracie Caccavale is 1720499148. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Tracie Caccavale located?

Tracie Caccavale practices at 78 Quannacut Rd, Pine Bush, NY 12566. The listed phone number is (845) 873-0104.

What is Tracie Caccavale's specialty?

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

Is Tracie Caccavale enrolled in Medicare?

Yes. Tracie Caccavale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracie Caccavale was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.