DR. CAROLYN FAY CERTILMAN PSYD
NPI 1740821669
Psychologist - Clinical in Carmel, NY
About Dr. Carolyn Fay Certilman Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAROLYN FAY CERTILMAN PSYD (NPI 1740821669) is an individual clinical provider in Carmel, New York, licensed in New York (023280) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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. Carolyn Fay Certilman Psyd 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.
Medicare Billing Reassignment
Medicare enrollment records show Carolyn Certilman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carmel, NY 10512
- Reassigned Medicare billing, New York enrollment
- 296 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARMEL, NY 10512
CARMEL, NY 10512
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 Carolyn Certilman's NPI number?
The NPI number for Carolyn Certilman is 1740821669. It was assigned to this individual provider in the NPPES registry on October 2, 2019.
Where is Carolyn Certilman located?
Carolyn Certilman practices at 667 Stoneleigh Ave Ste 202, Carmel, NY 10512. The listed phone number is (845) 279-5908.
What is Carolyn Certilman's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Carolyn Certilman enrolled in Medicare?
Yes. Carolyn Certilman 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 organization bills Medicare for Carolyn Certilman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Certilman reassigns Medicare benefits to Carmel Psychological Health, PC (Carmel, NY). The 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 Carolyn Certilman'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 Carolyn Certilman was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Carolyn Fay Certilman, PSYD · NPI 1740821669
Clinical provider in Carmel, New York. Individual provider, active in the CMS NPPES registry since October 2, 2019.
## Identity
- **NPI:** 1740821669 (Entity type: Individual)
- **Enumerated:** October 2, 2019
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 023280 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 667 STONELEIGH AVE STE 202, Carmel, NY 10512-2455
- **Phone:** (845) 279-5908 · **Fax:** (845) 279-5447
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Carmel Psychological Health, PC (NPI 1720194335, Carmel, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740821669) · Data from the CMS NPPES public registry.