Individual provider Active NPI

Rita M Oliverio, PHD

  • Psychologist
  • Clifton Park, NY
National Provider Identifier
1205996188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
012458 Issued in NY
Practice address
96 Appletree LN
Clifton Park, NY 12065-2104
Phone
(518) 373-2208
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 012458 NY Primary

Addresses

Primary practice location

96 Appletree LN
Clifton Park, NY 12065-2104

Mailing address

PO Box 732
Clifton Park, NY 12065-0732
Phone (518) 373-2208

Other identifiers 8

IdentifierTypeStateIssuer
098793OtherNYMAGELLAN PIN
V0987OtherNMEMPIRE BLUE CROSS PIN
0005514236OtherNYAETNA PIN #
40188OtherNYCIGNABEHAVIORAL PIN NUMBE
6803835OtherNMGHI MAGELLAN PIN
112014OtherNYVALUEOPTIONS PIN
41200OtherNYMVP HEALTHCARE PIN
000470553003OtherNYBLUESHIELD NENY PIN

Other names 1

  • Dr. Rita Oliverio Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000189 NY Practitioner - Clinical Psychologist 6709056971 Practice locations: Clifton Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205996188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120650732",
            "telephone_number": "518-373-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 APPLETREE LN",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652104",
            "telephone_number": "518-373-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERIO",
        "first_name": "RITA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PIN",
            "identifier": "098793",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS PIN",
            "identifier": "V0987",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN #",
            "identifier": "0005514236",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNABEHAVIORAL PIN NUMBE",
            "identifier": "40188",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MAGELLAN PIN",
            "identifier": "6803835",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS PIN",
            "identifier": "112014",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE PIN",
            "identifier": "41200",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD NENY PIN",
            "identifier": "000470553003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "OLIVERIO",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.