Individual provider Active NPI

Maria C Raciti, PH.D.

  • Clinical Psychologist
  • Yorktown, VA
National Provider Identifier
1922033414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001881 Issued in VA
Practice address
4102 George Washington Mem Hwy
Suite 102
Yorktown, VA 23692-2725
Phone
(757) 877-0150
Fax
(757) 877-0151
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001881 VA Primary

Addresses

Primary practice location

4102 George Washington Mem Hwy
Suite 102
Yorktown, VA 23692-2725

Mailing address

4102 George Washington Mem Hwy
Suite 102
Yorktown, VA 23692-2725
Phone (757) 877-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061002000207 VA Practitioner - Clinical Psychologist 3173528817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Texas Tech University Health Science Center School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11847 Canon Blvd
Suite 12
Newport News, VA 23606-4528
Phone (757) 873-0408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810001881VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria C. Raciti PH. D., P. C. Clinical CurrentSince Sep 20, 2020 Accepting new patients
Hampton Roads Counseling Ctr Inc Past Accepting new patients

Locations

11847 Canon Blvd
Ste 12
Newport News, VA 23606
Phone (757) 873-0408

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922033414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 GEORGE WASHINGTON MEM HWY",
            "address_2": "SUITE 102",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922725",
            "telephone_number": "757-877-0150",
            "fax_number": "757-877-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 GEORGE WASHINGTON MEM HWY",
            "address_2": "SUITE 102",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922725",
            "telephone_number": "757-877-0150",
            "fax_number": "757-877-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACITI",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.