Carmiter Ciciley Smith

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

179-16 143 Avenue
Springfield Gardens, NY 11434

Phone

(718) 810-6591

NPI assigned

Aug 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ina Bernard ABA Services Inc

  • Behavior Analyst
  • Jamaica, NY
  • NPI 1396400115
  NPD Authorized official

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487901732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179-16 143 AVENUE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "11434",
            "telephone_number": "718-810-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179-16 143 AVENUE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "11434",
            "telephone_number": "718-810-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARMITER",
        "middle_name": "CICILEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esante Shields
• Stephanie Shivamber
• Kedesha Siddiqui
• Brittany Antoinette Sims
• Phaedra Sirju
• Natasha Smith, LPN
• Social Concern Community Development
• Social Concern Vendor Agency, Inc.
• Marshialyn Georgia Spencer-Kelly, LPN
• Claudia Tracey-Ann Spencer, RN

• Early Intervention Provider Agency in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.