npidexNPI registry + Medicare data

ANIL CHACKO, PHD

Clinical Child & Adolescent Psychologist · NEW YORK, NY

Individual Active Opted out of Medicare NPI 1942447370

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Child & Adolescent Psychologist103TC2200X✓017732-1NY

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2017-09-05 through 2027-09-05.

Other Clinical Child & Adolescent Psychologist providers in New York

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.