DR. SERA LAVELLE PH.D
NPI 1891081527
Psychologist - Clinical in New York, NY

Q: What is Sera Lavelle's NPI number?

The NPI number for Sera Lavelle is 1891081527. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Q: What is Sera Lavelle's specialty?

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

Q: Is Sera Lavelle enrolled in Medicare?

No. Sera Lavelle has opted out of Medicare through May 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Sera Lavelle was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 21, 2011Opted out of Medicare · through May 1, 2027

177 PRINCE ST APT 501, NEW YORK, NY 10012(646) 537-1713 Get Directions Write a Review

NPPES record last updated: April 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sera Lavelle Ph.d NPPES

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

DR. SERA LAVELLE PH.D (NPI 1891081527) is an individual clinical provider in New York, New York, licensed in New York (021126) and active in the NPI registry since June 2011. She has opted out of Medicare through May 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891081527

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SERA LAVELLECredential: PH.D

Location Address177 PRINCE ST APT 501New York, NY 10012-2935

Mailing Address177 Prince St Apt 501New York, NY 10012-2935 · (646) 537-1713

Phone(646) 537-1713

Sole ProprietorNo

Enumeration DateJune 21, 2011

Last NPPES UpdateApril 29, 2015

✔ NPI 1891081527 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 · 021126

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.

177 PRINCE ST APT 501, New York, NY 10012

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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. Sera Lavelle Ph.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 May 1, 2017 through May 1, 2027.

Opt-Out Effective DateMay 1, 2017

Opt-Out In Effect ThroughMay 1, 2027Opt-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 10012 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

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICAH ZYLSTRA

Student in an Organized Health Care Education/Training Program

177 PRINCE ST APT 501
NEW YORK, NY 10012

New York County (646) 537-1713

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 Sera Lavelle's NPI number?

The NPI number for Sera Lavelle is 1891081527. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Sera Lavelle located?

Sera Lavelle practices at 177 Prince St Apt 501, New York, NY 10012. The listed phone number is (646) 537-1713.

What is Sera Lavelle's specialty?

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

Is Sera Lavelle enrolled in Medicare?

No. Sera Lavelle has opted out of Medicare through May 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sera Lavelle was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.