Organization Active NPI

Lavern Cole-Ristuccia Psy D PC

  • Clinical Psychologist
  • Pittsford, NY
National Provider Identifier
1821734963
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LAVERN COLE-RISTUCCIA PSY D PC
Practice address
5 S Pittsford Hill LN
Pittsford, NY 14534-2894
Phone
(585) 507-2181
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Lavern Cole-Ristuccia, PSY DNPI 1568570042
Title
Owner
Phone
(585) 507-2181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5 S Pittsford Hill LN
Pittsford, NY 14534-2894

Mailing address

3349 Monroe Ave Ste 312
Rochester, NY 14618-5513
Phone (585) 507-2181

Other names 1

  • Lavern Cole-Ristuccia PSY D Former legal business name

National Provider Directory

National Provider Directory

Locations

3349 Monroe Ave
Ste 312
Rochester, NY 14618

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1821734963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 MONROE AVE STE 312",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185513",
            "telephone_number": "585-507-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S PITTSFORD HILL LN",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342894",
            "telephone_number": "585-507-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVERN COLE-RISTUCCIA PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "COLE-RISTUCCIA",
        "authorized_official_first_name": "LAVERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-507-2181",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lavern Cole-Ristuccia PSY D",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.