RAYMOND J COPPOLA (PH.D) – Psychologist, NPI 1598905770
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,694 CLINICAL PSYCHOLOGIST in MA
Provider Addresses for RAYMOND J COPPOLA (PH.D)
585 Lincoln St
Worcester, MA 016051906
Phone: (508) 831-0045
Fax: (508) 753-5051
Type: Location
415 Main St
Ridgefield, CT 068774500
Phone: (203) 438-7565
Type: Location
601, 4th Avenue, Lansingburgh, Pleasantdale, City of Troy, Rensselaer County, New York, 12182, United States
TROY, NY 121822513
Phone: (774) 318-0850
Type: Mailing
1 MARCUS BLVD STE 106
ALBANY, NY 122055953
Phone: (774) 318-0850
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-07-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180731002300 | I | Clinical Psychologist | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01605)
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