Nicole Derosa, PSY.D., BCBA-D, LBA
NPI 1427309228 · Psychologist · Syracuse, NY
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Derosa, PSY.D., BCBA-D, LBA is a Psychologist provider in Syracuse, NY (NPI 1427309228).
Provider details
- NPI number
- 1427309228
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D., BCBA-D, LBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1107150
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 725 Daedalian DrRome, NY 13441-4908Phone: (315) 797-6241
Registry dates
- Enumerated
- 2012-09-20
- Last updated
- 2023-04-19
- Certified
- 2023-04-19
Frequently asked questions
- What is Nicole Derosa's NPI number?
- Nicole Derosa's National Provider Identifier (NPI) is 1427309228, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Derosa's specialty?
- Nicole Derosa is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Nicole Derosa located?
- Nicole Derosa's practice location on file with NPPES is 100 Intrepid Ln Ste 2, Syracuse, NY 13205-2546.
- What is Nicole Derosa's phone number?
- The practice phone number listed in the NPPES registry for Nicole Derosa is (315) 797-6241.
- Does Nicole Derosa accept Medicare?
- Nicole Derosa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Derosa's NPI active?
- Yes — Nicole Derosa's NPI (1427309228) is active in the NPPES registry as of the last update on 2023-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.