Active NPI
Christine Mary Silvestro
- Specialist
- Southold, NY
National Provider Identifier
1720511413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 480 Oakwood Dr
Southold, NY 11971-3211 - Phone
- (631) 765-6709
- NPI assigned
- Apr 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
480 Oakwood Dr
Southold, NY 11971-3211
Mailing address
480 Oakwood Dr
Southold, NY 11971-3211
Phone (631) 765-6709
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": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1720511413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 OAKWOOD DR",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119713211",
"telephone_number": "631-765-6709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 OAKWOOD DR",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119713211",
"telephone_number": "631-765-6709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVESTRO",
"first_name": "CHRISTINE",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southold, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.