Henry E Cretella, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

130292 Issued in NY

Practice address

243 Center St
Canandaigua, NY 14424-2101

Phone

(585) 424-3390

Fax

(585) 272-8986

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1659343846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LARCHWOOD DR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342434",
            "telephone_number": "585-248-0427",
            "fax_number": "585-223-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CENTER ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242101",
            "telephone_number": "585-424-3390",
            "fax_number": "585-272-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETELLA",
        "first_name": "HENRY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "130292",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "130292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE EDUCATION DEPT #",
            "identifier": "60130292",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Crane
• Dev Crasta, PHD
• Janice Catherine Creamer, LCSW-R
• John Crean, PHARMD
• Lilah J Crelley, LMSW
• Bonnie J Cronin, ND, LAC.
• Jill Ann Cross, RN
• Jordan Csati, PHARM.D.
• Michael Cuciti, PT, DPT
• Catherine Cunningham

• Child & Adolescent Psychiatry Physician in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.