Ellen Riccardi, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ELLEN RICCARDI, LLC

Practice address

1214 Post Rd
Fairfield, CT 06824-6008

Phone

(973) 879-8289

NPI assigned

Aug 13, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grace Cullen

Title

Medical Billing Manager

Phone

(203) 368-5515

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellen Riccardi

  • Professional Counselor
  • East Haven, CT
  • NPI 1538634605
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1184270571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 BREWSTER ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066053411",
            "telephone_number": "973-879-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246008",
            "telephone_number": "973-879-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN RICCARDI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "203-368-5515"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004069985",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.