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Charles Destefano, PH.D.
NPI 1710203393 · Psychologist · Staten Island, NY
Charles Destefano, PH.D. is a Psychologist provider in Staten Island, NY (NPI 1710203393).
Provider details
- NPI number
- 1710203393
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 010175-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
77 Governor Rd
Staten Island, NY 10314-3021
Phone: (718) 273-9179
Fax: (718) 273-9179
Street-level locationGet directions
Mailing address
77 Governor Rd
Staten Island, NY 10314-3021
Registry dates
- Enumerated
- 2010-04-08
- Last updated
- 2010-04-08
Frequently asked questions
- What is Charles Destefano's NPI number?
- Charles Destefano's National Provider Identifier (NPI) is 1710203393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Destefano's specialty?
- Charles Destefano is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Charles Destefano located?
- Charles Destefano's practice location on file with NPPES is 77 Governor Rd, Staten Island, NY 10314-3021.
- What is Charles Destefano's phone number?
- The practice phone number listed in the NPPES registry for Charles Destefano is (718) 273-9179.
- Is Charles Destefano's NPI active?
- Yes — Charles Destefano's NPI (1710203393) is active in the NPPES registry as of the last update on 2010-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.