IndividualActive
Carolee Iltis
NPI 1710097076 · Psychologist · Poughkeepsie, NY
Provider details
- NPI number
- 1710097076
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 015446 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
510 Haight Avenue
Ste 203 Spectrurm Behavioral Management Serv Inc
Poughkeepsie, NY 12603-2408
Phone: (845) 485-9098
Fax: (845) 485-8780
Street-level locationGet directions
Mailing address
20 Danis Avenue
Poughkeepsie, NY 12603-2408
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.