Active NPI
Cecily Eve Rose Itkoff, MA MFT LMFT
- Marriage & Family Therapist
- Newtown, PA
National Provider Identifier
1861698219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000488
- Practice address
- 793 Penns Park Rd
Newtown, PA 18940 - Phone
- (215) 598-8188
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000488 | PA | Primary |
Addresses
Primary practice location
793 Penns Park Rd
Newtown, PA 18940
Mailing address
793 Penns Park Rd
Newtown, PA 18940
Phone (215) 598-8188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MF000488 | Other | PA | LINCENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF000488 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861698219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 PENNS PARK RD",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "18940",
"telephone_number": "215-598-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 PENNS PARK RD",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "18940",
"telephone_number": "215-598-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE ITKOFF",
"first_name": "CECILY",
"middle_name": "EVE",
"name_prefix": "Ms.",
"credential": "MA MFT LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LINCENSE",
"identifier": "MF000488",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.