Active NPI
Rita M Oliverio, PHD
- Psychologist
- Clifton Park, NY
National Provider Identifier
1205996188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 012458
- Practice address
- 96 Appletree LN
Clifton Park, NY 12065-2104 - Phone
- (518) 373-2208
- NPI assigned
- Dec 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098793 | Other | NY | MAGELLAN PIN |
| V0987 | Other | NM | EMPIRE BLUE CROSS PIN |
| 0005514236 | Other | NY | AETNA PIN # |
| 40188 | Other | NY | CIGNABEHAVIORAL PIN NUMBE |
| 6803835 | Other | NM | GHI MAGELLAN PIN |
| 112014 | Other | NY | VALUEOPTIONS PIN |
| 41200 | Other | NY | MVP HEALTHCARE PIN |
| 000470553003 | Other | NY | BLUESHIELD NENY PIN |
Other names 1
- Dr. Rita Oliverio
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.