Individual provider Active NPI

Wei-Ping Wang Civitello

  • Behavior Analyst
  • Rego Park, NY
National Provider Identifier
1639641822
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
004434 Issued in NY
Practice address
6350 Wetherole St Apt 5K
Rego Park, NY 11374-2919
Phone
(516) 754-7397
NPI assigned
Dec 28, 2018
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 004434 NY Primary

Addresses

Primary practice location

6350 Wetherole St Apt 5K
Rego Park, NY 11374-2919

Mailing address

6350 Wetherole St Apt 5K
Rego Park, NY 11374-2919
Phone (516) 754-7397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1639641822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 WETHEROLE ST APT 5K",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742919",
            "telephone_number": "516-754-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 WETHEROLE ST APT 5K",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742919",
            "telephone_number": "516-754-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIVITELLO",
        "first_name": "WEI-PING",
        "middle_name": "WANG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "004434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.