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DR. MICHAEL JOHN NUCCITELLI PSY.D.
NPI 1740303940
Psychologist - Clinical in Brewster, NY

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
2505 CARMEL AVE STE 210, BREWSTER, NY 10509(845) 629-0205(845) 279-6221 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael John Nuccitelli Psy.d. NPPES

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

DR. MICHAEL JOHN NUCCITELLI PSY.D. (NPI 1740303940) is an individual clinical provider in Brewster, New York, licensed in New York (013009) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1740303940
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL JOHN NUCCITELLICredential: PSY.D.
Location Address2505 CARMEL AVE STE 210Brewster, NY 10509-1122
Mailing Address57 Innsbruck BlvdHopewell Junction, NY 12533-8315 · (845) 629-0205 · Fax (845) 279-6221
Phone(845) 629-0205
Fax(845) 279-6221
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740303940 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 · 013009
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.
2505 CARMEL AVE STE 210, Brewster, NY 10509
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael John Nuccitelli Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406126994
PECOS Enrollment IDI20170717000488
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Nuccitelli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shobin Oommen Physician, PC
45 mi
Behavior Analyst
35 PILGRIM ST
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1275853129 (917) 797-4421
Mn Psychological Services PLLC
59 mi
Psychologist
2255 CROPSEY AVE
Brooklyn, NY 11214
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1003381708 (718) 221-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
12,940 services311 patients
Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
1,436 services71 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
161 services21 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.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10509 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.

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 Michael Nuccitelli's NPI number?

The NPI number for Michael Nuccitelli is 1740303940. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Michael Nuccitelli located?

Michael Nuccitelli practices at 2505 Carmel Ave Ste 210, Brewster, NY 10509. The listed phone number is (845) 629-0205.

What is Michael Nuccitelli's specialty?

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

Is Michael Nuccitelli enrolled in Medicare?

Yes. Michael Nuccitelli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Nuccitelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Nuccitelli reassigns Medicare benefits to 2 organizations: Shobin Oommen Physician, PC (New Hyde Park, NY) and Mn Psychological Services PLLC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Nuccitelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Nuccitelli was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.