Elizabeth Ciaravino, PH D
Individual provider Active NPI Psychologist · Hawley, PA
NPI 1154425205 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1154425205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS007724L (PA)
- Practice address
- 8 Silk Mill Dr Ste 223
Hawley, PA 18428-1423 - Phone
- (570) 226-1963
- Fax
- (570) 226-1967
- NPI assigned
- Sep 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Transformative Healthcare Solutions Inc
Practice addresses (Care Compare)
1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone (954) 885-9500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220929002197 | FL | Practitioner - Clinical Psychologist | 1052415163 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformative Healthcare Solutions West LLC | Current |
Accepting new patients | |
| Transformative Healthcare Solutions Inc | Current |
Accepting new patients | |
| Elizabeth Ciaravino, PH.D. | Psychologist | Current |
Accepting new patients |
| Mental Health Center of Florida PA | Current |
Accepting new patients | |
| Transformative Healthcare Solutions South LLC | Current |
Accepting new patients | |
| Transformative Healthcare Solutions North LLC | Current |
Accepting new patients | |
| Transformative Healthcare Solutions Gold Coast LLC | Current |
Accepting new patients | |
| Transformative Healthcare Solutions East LLC | Current |
Accepting new patients | |
| Transformative Healthcare Solutions Central LLC | Current |
Accepting new patients | |
| Hearing Health PA, LLC | Past |
Accepting new patients | |
| Pro Performance Physical Therapy LLC | Past |
Accepting new patients |
Locations
1321 NE 24th Ave
Cape Coral, FL 33909
Phone (239) 294-2180
2544 E Sunrise Blvd
Fort Lauderdale, FL 33304
Phone (954) 253-0853
1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700
4243 Sunbeam Rd
Ste 8
Jacksonville, FL 32257
160 Treemonte Dr
Orange City, FL 32763
Phone (386) 423-0505
9381 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 220-0302
4820 W Gandy Blvd
Tampa, FL 33611
3710 14th St
Vero Beach, FL 32960
Phone (772) 564-0063
8 Silk Mill Dr
Ste 223
Hawley, PA 18428
Phone (570) 226-1963
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS007724L | PA | Yes |
Addresses
Primary practice location
8 Silk Mill Dr Ste 223
Hawley, PA 18428-1423
Mailing address
8 Silk Mill Dr Ste 223
Hawley, PA 18428-1423
Phone (570) 226-1963
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187970 | Other | MAN | |
| 803770 | Other | FIRST PRIORITY |
Other providers in Hawley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.