Active NPI
Gina Raciti, PH.D, LCPC, NCC
- Clinical Psychologist
- Rehoboth Beach, DE
National Provider Identifier
1730791682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- B1-0011316
- Practice address
- 317 Hickman St
Rehoboth Beach, DE 19971-1854 - Phone
- (302) 219-0953
- NPI assigned
- Aug 21, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC4615 | MD | |
| Clinical Psychologist | 103TC0700X | 05980 | MD | |
| Clinical Psychologist | 103TC0700X | B1-0011316 | DE | Primary |
Addresses
Primary practice location
317 Hickman St
Rehoboth Beach, DE 19971-1854
Mailing address
PO Box 533
Rehoboth Beach, DE 19971-0533
Phone (302) 219-0953
Other practice location 1
714 Beall Ave
Rockville, MD 20850-2107
Phone (516) 458-9737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 3, 2022 through Aug 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4615 | MD | MD | Professional Counselor |
| B1-0011316 | DE | MD | Clinical Psychologist |
| 05980 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1730791682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 533",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199710533",
"telephone_number": "302-219-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 HICKMAN ST",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199711854",
"telephone_number": "302-219-0953"
}
],
"practiceLocations": [
{
"address_1": "714 Beall Ave",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208502107",
"country_code": "US",
"telephone_number": "516-458-9737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RACITI",
"first_name": "GINA",
"credential": "PH.D, LCPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-21",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4615",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05980",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DE",
"license": "B1-0011316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.