Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Edward D Sorel, PHD

Individual provider Clinical Psychologist · NPI 1396777454

Mr. Edward D Sorel, PHD is a Clinical Psychologist in Ithaca, New York. Qualified in 1977, 49 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
49
Licensed in
NY
In the registry since
2006
Specialties on file
2
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

110 N Caygua St
Ithaca, NY 14850
Phone: (607) 273-1038
Fax: (607) 256-8363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X · Licence 06772 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 06772 (NY)

Record details

NPI number1396777454
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address110 N Caygua Street, Ithaca, NY 14850

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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