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

Tracie Caccavale, PHD

Individual provider Clinical Psychologist · NPI 1720499148

Tracie Caccavale, PHD is a Clinical Psychologist in Pine Bush, New York. Qualified in 2007, 19 years ago. Practices with The Center for Discovery Inc, a 23-clinician group. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2014
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

78 Quannacut Rd
Pine Bush, NY 12566-5431
Phone: (845) 873-0104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 021270 (NY)

Record details

NPI number1720499148
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 20, 2014
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address78 Quannacut Rd, Pine Bush, NY 12566-5431

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice The Center For Discovery Inc — 23 clinicians
Accepts Medicare assignment Not indicated

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