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DR. ANIL CHACKO PHD
NPI 1942447370
Psychologist - Clinical Child & Adolescent in New York, NY

Active since January 07, 2009Opted out of Medicare · through Sep 5, 2027
ONE GUSTAVE L. LEVY PLACE, BOX 1230, NEW YORK, NY 10029(716) 982-2464 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anil Chacko Phd NPPES

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

DR. ANIL CHACKO PHD (NPI 1942447370) is an individual clinical child & adolescent provider in New York, New York, licensed in New York (017732-1) and active in the NPI registry since January 2009. He has opted out of Medicare through September 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1942447370
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. ANIL CHACKOCredential: PHD
Location AddressONE GUSTAVE L. LEVY PLACE, BOX 1230New York, NY 10029
Mailing AddressOne Gustave L. Levy Place, Box 1230New York, NY 10029 · (716) 982-2464
Phone(716) 982-2464
Sole ProprietorYes
Enumeration DateJanuary 7, 2009
✔ NPI 1942447370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in NY · 017732-1
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
ONE GUSTAVE L. LEVY PLACE, New York, NY 10029
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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. Anil Chacko Phd 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 September 5, 2017 through September 5, 2027.

Opt-Out Effective DateSeptember 5, 2017
Opt-Out In Effect ThroughSeptember 5, 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.

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.

DR. ANNE YIN MDCM
Student in an Organized Health Care Education/Training Program
ONE GUSTAVE L. LEVY PLACE, DEPARTMENT OF UROLOGY, THE ICAHN SCHOOL OF MEDICINE AT
NEW YORK, NY 10029
New York County (917) 763-5913
DR. ROBERT S. COPELAND-HALPERIN M.D.
Internal Medicine (Cardiovascular Disease)
ONE GUSTAVE L. LEVY PLACE, MOUNT SINAI
NEW YORK, NY 10029
New York County (212) 659-8551
ERIC BEAN MD
Student in an Organized Health Care Education/Training Program
ONE GUSTAVE L. LEVY PLACE, DEPARTMENT OF PSYCHIATRY
NEW YORK, NY 10029
New York County (212) 523-4000
MS. MAURA B ELESPURU NP
Nurse Practitioner (Family)
ONE GUSTAVE L. LEVY PLACE, MOUNT SINAI HOSPITAL
NEW YORK, NY 10029
New York County (212) 241-6768
GISELA GONZALEZ MD
Student in an Organized Health Care Education/Training Program
ONE GUSTAVE L. LEVY PLACE, BOX 1259
NEW YORK, NY 10029
New York County (212) 241-5972
BRENDAN DAVID ROSS
Student in an Organized Health Care Education/Training Program
ONE GUSTAVE L. LEVY PLACE
NEW YORK, NY 10029
New York County (212) 659-8734
SARAH JACQUELINE NESSEN
Student in an Organized Health Care Education/Training Program
ONE GUSTAVE L. LEVY PLACE, DEPARTMENT OF MEDICINE BOX #1118
NEW YORK, NY 10029
New York County (646) 596-0029
SAMANTHA AYCART PA-C
Physician Assistant
ONE GUSTAVE L. LEVY PLACE
NEW YORK, NY 10029
New York County (212) 241-6500

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 Anil Chacko's NPI number?

The NPI number for Anil Chacko is 1942447370. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Where is Anil Chacko located?

Anil Chacko practices at One Gustave L. Levy Place Box 1230, New York, NY 10029. The listed phone number is (716) 982-2464.

What is Anil Chacko's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Anil Chacko enrolled in Medicare?

No. Anil Chacko has opted out of Medicare through September 5, 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 Anil Chacko was last updated on January 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.