Theodora Kanellopoulos, PH.D.
NPI 1083091870 · Clinical Neuropsychologist · White Plains, NY
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodora Kanellopoulos, PH.D. is a Clinical Neuropsychologist provider in White Plains, NY (NPI 1083091870).
Provider details
- NPI number
- 1083091870
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 021101 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-30
- Last updated
- 2015-04-30
Frequently asked questions
- What is Theodora Kanellopoulos's NPI number?
- Theodora Kanellopoulos's National Provider Identifier (NPI) is 1083091870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodora Kanellopoulos's specialty?
- Theodora Kanellopoulos is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Theodora Kanellopoulos located?
- Theodora Kanellopoulos's practice location on file with NPPES is 21 Bloomingdale Rd, White Plains, NY 10605-1504.
- What is Theodora Kanellopoulos's phone number?
- The practice phone number listed in the NPPES registry for Theodora Kanellopoulos is (917) 886-4779.
- Does Theodora Kanellopoulos accept Medicare?
- Theodora Kanellopoulos is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodora Kanellopoulos's NPI active?
- Yes — Theodora Kanellopoulos's NPI (1083091870) is active in the NPPES registry as of the last update on 2015-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.