Active NPI
Maureen Italiano
- Social Worker
- Staten Island, NY
National Provider Identifier
1053501171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R0405311
- Practice address
- 251 Richmond Hill Road
Heartland Psychological Services PC
Staten Island, NY 10314 - Phone
- (718) 494-9397
- Fax
- (718) 761-1000
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R0405311 | NY | Primary |
Addresses
Primary practice location
251 Richmond Hill Road
Heartland Psychological Services PC
Staten Island, NY 10314
Mailing address
PO Box 141280
Heartland Psychological Services PC
Staten Island, NY 10314
Phone (718) 494-9397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0405311 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Medical Services, P.C. | Past | Accepting new patients | |
| Heartland Psychological Services PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1942326665
-
- Psychologist
- Staten Island, NY
- NPI 1801953450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189987200000",
"number": "1053501171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141280",
"address_2": "HEARTLAND PSYCHOLOGICAL SERVICES PC",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314",
"telephone_number": "718-494-9397",
"fax_number": "718-761-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 RICHMOND HILL ROAD",
"address_2": "HEARTLAND PSYCHOLOGICAL SERVICES PC",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314",
"telephone_number": "718-494-9397",
"fax_number": "718-761-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITALIANO",
"first_name": "MAUREEN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2007-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R0405311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.