Carolyn I. Vicchiullo, Psy.d., Pc - Medicare Mental Health Clinic in Easton, PA

Carolyn I. Vicchiullo, Psy.d., Pc is a medicare enrolled mental health clinic (Psychologist) in Easton, Pennsylvania. The current practice location for Carolyn I. Vicchiullo, Psy.d., Pc is 2030 Lehigh St, Suite 107, Easton, Pennsylvania. For appointments, you can reach them via phone at (610) 253-8900. The mailing address for Carolyn I. Vicchiullo, Psy.d., Pc is 2030 Lehigh St, Suite 107, Easton, Pennsylvania and phone number is (610) 253-8900.

Carolyn I. Vicchiullo, Psy.d., Pc is licensed to practice in Pennsylvania (license number PS015116). The clinic also participates in the medicare program and its NPI number is 1235305210. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (610) 253-8900.

Contact Information

Carolyn I. Vicchiullo, Psy.d., Pc
2030 Lehigh St
Suite 107
Easton
PA 18042-3853
(610) 253-8900
(610) 253-7062

Mental Health Clinic Profile

Full NameCarolyn I. Vicchiullo, Psy.d., Pc
SpecialityPsychologist
Location2030 Lehigh St, Easton, Pennsylvania
Authorized Official Name and PositionCarolyn I. Vicchiullo (PRESIDENT)
Authorized Official Contact6102538900
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carolyn I. Vicchiullo, Psy.d., Pc
2030 Lehigh St
Suite 107
Easton
PA 18042-3853

Ph: (610) 253-8900
Carolyn I. Vicchiullo, Psy.d., Pc
2030 Lehigh St
Suite 107
Easton
PA 18042-3853

Ph: (610) 253-8900

NPI Details:

NPI Number1235305210
Provider Enumeration Date04/30/2008
Last Update Date04/30/2008

Medicare PECOS Information:

Medicare PECOS PAC ID0446430714
Medicare Enrollment IDO20110204000137

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Medical Identifiers

Medical identifiers for Carolyn I. Vicchiullo, Psy.d., Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235305210NPI-NPPES
262019000OtherPAMAGELLAN
03183600OtherCBC
1765117OtherHIGHMARK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PS015116 (Pennsylvania)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Carolyn I. Vicchiullo, Psy.d., Pc acts as a billing entity for following providers:
Provider NameCarolyn I Vicchiullo
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1194798108
PECOS PAC ID: 0042494338
Enrollment ID: I20110412000057

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