Molleen M Dematteo, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

506075 Issued in NY

Practice address

214 Elmira Rd
Ithaca, NY 14850-5302

Phone

(607) 273-9015

NPI assigned

Sep 6, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1740539600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CEDAR LN",
            "city": "GROTON",
            "state": "NY",
            "postal_code": "130731311",
            "telephone_number": "607-898-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ELMIRA RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505302",
            "telephone_number": "607-273-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTEO",
        "first_name": "MOLLEEN",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "506075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Delaney, MA, LCAT, BC-DMT
• Ellen Delara
• Thomas Delara, MSW
• Emily Delucia, PHARMD
• Chantalise M Demarco
• Patricia A. Dematteo, LCSW
• Ineke Demuynck
• Tracey Denardo
• Denise S. Wittlin-Horvath Licensed Clinical Social Worker, PLLC (Better Life Social Work Services)
• Denise S. Wittlin-Horvath Psychiatric Nurse Practitioner, PLLC (Better life Psychiatric Nursing Services)

• School Registered Nurse in Ithaca, NY
• Providers in Ithaca, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.