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

Dr. Mia Pancaldo, PHD

Individual provider Psychologist · NPI 1154417103

Dr. Mia Pancaldo, PHD is a Clinical Psychologist in Ithaca, New York. Qualified in 1992, 34 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

122A W Buffalo St
Ithaca, NY 14850-4132
Phone: (607) 275-0627
Fax: (607) 273-6271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 012409 (NY)

Record details

NPI number1154417103
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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