DR. ELAINA PAULINE SERVIDIO PSYD
NPI 1902458029
Psychologist - Clinical in Rye, NY

Active since July 09, 2019Opted out of Medicare · through Jul 8, 2027

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 11, 2021, Jul 9, 2019 (2 updates tracked since 2019).

About Dr. Elaina Pauline Servidio Psyd NPPES

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

DR. ELAINA PAULINE SERVIDIO PSYD (NPI 1902458029) is an individual clinical provider in Rye, New York, licensed in New York (023256) and active in the NPI registry since July 2019. She has opted out of Medicare through July 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902458029
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELAINA PAULINE SERVIDIOCredential: PSYD
Location AddressPO BOX 323Rye, NY 10580-0323
Mailing AddressPo Box 323Rye, NY 10580-0323 · (914) 200-4702
Sole ProprietorNo
Enumeration DateJuly 9, 2019
Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
NPI 1902458029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 023256
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.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 023256 (NY)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 023256 (NY)
PO BOX 323, Rye, NY 10580

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. Elaina Pauline Servidio Psyd 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 July 8, 2019 through July 8, 2027.

Opt-Out Effective DateJuly 8, 2019
Opt-Out In Effect ThroughJuly 8, 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 10580 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Elaina Servidio's NPI number?

The NPI number for Elaina Servidio is 1902458029. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Elaina Servidio located?

Elaina Servidio practices at PO Box 323, Rye, NY 10580. The listed phone number is (914) 200-4702.

What is Elaina Servidio's specialty?

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

Is Elaina Servidio enrolled in Medicare?

No. Elaina Servidio has opted out of Medicare through July 8, 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 Elaina Servidio was last updated on October 16, 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.