Karyn Vacanti-Shova, PH.D., BCBA-D
NPI 1770854788ActiveIndividual· Psychologist, Clinical· Fairport, NY
Psychologist, Clinical (PH.D., BCBA-D) with State of New York Comptrollers Office, practicing in Fairport, New York. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1770854788 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., BCBA-D |
| Sole proprietor | No |
| NPI issued | Jan 23, 2012 |
| Last updated in NPPES | Feb 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 021154 | NY |
| Behavior Analyst | 103K00000X | 000291 | NY |
| Behavior Analyst | 103K00000X | 1-08-4553 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NY) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- State of New York Comptrollers OfficeWest Haverstraw, NY · 170 clinicians
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