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Ettalee Pass, PH.D.
NPI 1275576241 · Clinical Psychologist · Smithtown, NY
Ettalee Pass, PH.D. is a Clinical Psychologist provider in Smithtown, NY (NPI 1275576241).
Provider details
- NPI number
- 1275576241
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 011597 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
29 Manor Rd
Smithtown, NY 11787-2714
Phone: (631) 265-8873
Fax: (631) 751-5287
Street-level locationGet directions
Mailing address
29 Manor Rd
Smithtown, NY 11787-2752
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2010-02-07
Frequently asked questions
- What is Ettalee Pass's NPI number?
- Ettalee Pass's National Provider Identifier (NPI) is 1275576241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ettalee Pass's specialty?
- Ettalee Pass is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Ettalee Pass located?
- Ettalee Pass's practice location on file with NPPES is 29 Manor Rd, Smithtown, NY 11787-2714.
- What is Ettalee Pass's phone number?
- The practice phone number listed in the NPPES registry for Ettalee Pass is (631) 265-8873.
- Is Ettalee Pass's NPI active?
- Yes — Ettalee Pass's NPI (1275576241) is active in the NPPES registry as of the last update on 2010-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.