Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Becca Ilvento, PSYD

Individual provider Clinical Psychologist · NPI 1225675234

Dr. Becca Ilvento, PSYD is a Clinical Psychologist in Port Jefferson, New York. Qualified in 2019, 7 years ago. Practices with St Charles Hospital Corp, a 67-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

200 Belle Terre Rd Psychology Dept
Port Jefferson, NY 11777
Phone: (631) 474-6308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 024899-01 (NY)

Record details

NPI number1225675234
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedDecember 9, 2019
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Charles Hospital Corp — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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