Lavern K Cole-Ristuccia, PSY D PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

NY012985 Issued in NY

Practice address

5 S Pittsford Hill Lane
Rochester, NY 14618-2894

Phone

(585) 507-2181

Fax

(585) 385-9315

NPI assigned

Aug 26, 2006

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

Other identifiers 4

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

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Lavern Cole-Ristuccia Psy D PC

  • Clinical Psychologist
  • Pittsford, NY
  • NPI 1821734963
  NPD Authorized official

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1568570042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S PITTSFORD HILL LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-507-2181",
            "fax_number": "585-385-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S PITTSFORD HILL LANE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182894",
            "telephone_number": "585-507-2181",
            "fax_number": "585-385-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE-RISTUCCIA",
        "first_name": "LAVERN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSY D PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "NY012985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010012985",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010012985",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "P102037FC",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01733782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oliver Colaprete, PA-C
• Anthony Colaruotolo, DDS
• Hannah Connelly Colbert, MSW
• Amy K Colby, RPH
• Jessica L Colby, NP
• Aaron James Cole, RN
• Amy Cole, AGNP
• Bradley A Cole, MD
• Carol A Cole, RPH
• Daniel R Cole, RPH

• Clinical Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.