Christina Elizabeth Civitello

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

14379 Route 9W
Ravena, NY 12143

Phone

(518) 756-3124

NPI assigned

Oct 22, 2024

Sex

Female

Sole proprietor

No

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

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.

• Early Childhood Learning Center, Inc.

  • Early Intervention Provider Agency
  • Ravena, NY
  • NPI 1336392216
  NPD (past)

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1750102737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 GREEN LAKE RD",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124146213",
            "telephone_number": "518-943-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14379 ROUTE 9W",
            "city": "RAVENA",
            "state": "NY",
            "postal_code": "12143",
            "telephone_number": "518-756-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIVITELLO",
        "first_name": "CHRISTINA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Ann Brennan, M.S., CCC-SLP
• Shannon A Burns
• Mary Campbell
• Patrick F Caulfield, M.D.
• Melissa Celio
• Stephen Colleen
• Community Care Physicians, PC
• Melissa R Cookfair, SLP
• Anthony Francis Cornell
• CVS Albany, L.L.C.

• Specialist in Ravena, NY
• Providers in Ravena, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.