Maria Celmira Mancebo Coltey, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS00867 Issued in RI

Practice address

154 Waterman St Ste 7
Providence, RI 02906-3116

Phone

(401) 361-4753

Fax

(401) 340-1675

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Maria Celmira Mancebo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 18, 2022 through Jul 18, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: mmancebo@direct.carene.org

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1285726489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7041",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028640892",
            "telephone_number": "401-862-7060",
            "fax_number": "401-340-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WATERMAN ST STE 7",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063116",
            "telephone_number": "401-361-4753",
            "fax_number": "401-340-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLTEY",
        "first_name": "MARIA",
        "middle_name": "CELMIRA MANCEBO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00867",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "RI",
            "license": "PS00867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "MANCEBO",
            "middle_name": "CELMIRA",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wilfredo Oscar Colon, PTA
• Rosella Colonna, LCSW
• Scott A Colonna, O.D.
• Theresa J Colonna, O.D.
• Eulogia Colop
• Lauren Elizabeth Coltrain, MD
• Linda Otway Colvin, ACRNP
• Lois Ann Colwell, LICSW
• William Peter Colwell, LICSW
• Kathryn Combo, MD

• Clinical Psychologist in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.