Christian Concillion

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

P57457 Issued in NY

Practice address

930 Mamaroneck Ave
Mamaroneck, NY 10543-1629

Phone

(914) 381-6110

Fax

(914) 381-6964

NPI assigned

Jul 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Christian Concillion Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1225238751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MAMARONECK AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431629",
            "telephone_number": "914-381-6110",
            "fax_number": "914-381-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAMARONECK AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431629",
            "telephone_number": "914-381-6110",
            "fax_number": "914-381-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCILLION",
        "first_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P57457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIAN",
            "last_name": "CONCILLION",
            "prefix": "MR.",
            "credential": "M.S M.F.T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anthony Colabella, PT, DPT
• Madison Ann Colangelo
• Victoria Colon
• Danielle Colucci, MS OTR/L
• Nayeli Marie Concepcion
• Angela Marie Conde, LMFT
• Kathryn Conley, PH.D.
• Nicole Conlin
• Melodie Cortes
• Creative Counseling Mental Health Services

• All providers in Mamaroneck, NY
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.