Individual provider Active NPI

Emma Leonor Ciccarillo

  • Recreation Therapist
  • New Haven, CT
National Provider Identifier
1194630723
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
88448 Issued in CT
Practice address
1450 Chaple Street Yale New Haven St. Raphaels
New Haven, CT 06511
Phone
(203) 680-2427
NPI assigned
Aug 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 88448 CT Primary

Addresses

Primary practice location

1450 Chaple Street Yale New Haven St. Raphaels
New Haven, CT 06511

Mailing address

106 E Mountain Rd
Canton, CT 06019

Other names 1

  • Ema Leonor Ciccarillo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1194630723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E MOUNTAIN RD",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "06019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPLE STREET YALE NEW HAVEN ST. RAPHAELS",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-680-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARILLO",
        "first_name": "EMMA",
        "middle_name": "LEONOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "CT",
            "license": "88448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMA",
            "last_name": "CICCARILLO",
            "middle_name": "LEONOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.