Cicchiello Corporation Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP009838 Issued in PA

Legal business name

CICCHIELLO CORPORATION INC

Practice address

601 W 5TH St
Mount Carmel, PA 17851-1803

Phone

(570) 875-8058

NPI assigned

Jun 5, 2015

Last updated

Jun 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joan M Cicchiello, PMHNPNPI 1639395395

Title

Executive Director

Phone

(570) 875-8058

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joan M Cicchiello, PHD, PMHNP, B-C

  • Adult Health Nurse Practitioner
  • Mount Carmel, PA
  • NPI 1639395395
  Authorized official Same address or phone

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1790165553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 5TH ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511803",
            "telephone_number": "570-875-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 5TH ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511803",
            "telephone_number": "570-875-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CICCHIELLO CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "CICCHIELLO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-875-8058",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP009838",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "PA",
            "license": "TP006931C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Barrett, PASTORAL CARE COUNSE
• Belski Community Pharmacy Inc (Belski Community Pharmacy)
• Garrett S Bembenek, DPM
• Jason L Burgess, DC
• Jennifer L Burgess, DC
• Joan M Cicchiello, PHD, PMHNP, B-C
• Devin Marie Conrad, PA-C
• Mary B. Cortellini, SLP
• Dva Healthcare Renal Care Inc (Northumberland Dialysis)
• Dyg Freight

• Psychiatric/Mental Health Nurse Practitioner in Mount Carmel, PA
• Providers in Mount Carmel, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.