Active NPI
Regina Lynn Camillieri, BSW,IBCLC
- Lactation Consultant (Non-RN)
- White Plains, NY
National Provider Identifier
1841503208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 198-14501
- Practice address
- 1241 Mamaroneck Ave
White Plains, NY 10605-5201 - Phone
- (914) 421-1500
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 002025 | NY | |
| Lactation Consultant (Non-RN) | 174N00000X | 198-14501 | NC | Primary |
Addresses
Primary practice location
1241 Mamaroneck Ave
White Plains, NY 10605-5201
Mailing address
1983 Crompond Rd
Cortlandt Manor, NY 10567-4121
Phone (845) 337-0141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841503208 | Other | NY | HEALTH INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | treehousewisdomandwellness.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240712001753 | NY | Practitioner - Marriage and Family Therapist | 4880139948 | Practice locations: Montrose, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Mercy College, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Montrose, NY 10548
Phone (845) 337-0141
202 Coachlight SQ
Montrose, NY 10548-1251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198-14501 | NC | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665878400000",
"number": "1841503208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1983 CROMPOND RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674121",
"telephone_number": "845-337-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 MAMARONECK AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055201",
"telephone_number": "914-421-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMILLIERI",
"first_name": "REGINA",
"middle_name": "LYNN",
"credential": "BSW,IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2022-10-16",
"certification_date": "2022-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "002025",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NC",
"license": "198-14501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH INSURANCE",
"identifier": "1841503208",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "treehousewisdomandwellness.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1983 Crompond Rd",
"city": "Cortlandt Manor",
"state": "NY",
"country_code": "US",
"postal_code": "105674121",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.