Concetta M Decaria, PhD
Clinical Neuropsychologist in New York, NY. Individual provider (NPI-1).
NPI number1487965638
StatusActive
Last updated in NPPESJun 22, 2010
Details
- NPI
- 1487965638
- Entity type
- Individual (NPI-1)
- Name
- Concetta M Decaria
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2010
- Last updated
- Jun 22, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 012863 | NY | Yes |
Practice location
1160 5th AveSuite 101
New York, NY 10029-6928
Phone 212-828-5414
Mailing address
1160 5th AveSuite 101
New York, NY 10029-6928
Phone 212-828-5414
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