MS. MARY ANN RICCI (NPI# 1164045571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164045571 |
| Entity Type | Individual |
| Full Name | MS. MARY ANN RICCI |
| Credential | CARC |
| Practice Address |
155 West Main Port Jervis NY 12771 |
| Mailing Address |
155 West Main Street Port Jervis NY 12771 |
| Practice Telephone | 8456993713 |
| Mailing Telephone | 8456723197 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CARC-4460 | NY | Behavioral Health & Social Service Providers |
| Street Address |
155 WEST MAIN |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| 1871680538 | Bhupinder S Gill | Psychiatry & Neurology | 206 New Ball St, Port Jervis, NY 12771 | 2006-10-06 |
| Find all providers in zip 12771 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257624 | Tonya Martinez | Counselor | 50 Lakeside Dr, Port Jervis, NY 12771-3129 | 2020-08-26 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1952615668 | Kathleen Frances Eschenbert | Counselor | 17 Sussex St # 19, Port Jervis, NY 12771-2430 | 2010-08-05 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1891394458 | Cecilia Lourdes Abadilla | Counselor | 17 Sussex St, Port Jervis, NY 12771-2430 | 2020-10-23 |
| 1659917441 | Ryan Case | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2019-11-27 |
| 1568920361 | Kristen Cummings | Counselor | 17 Sussex St, Port Jervis, NY 12771-2430 | 2019-03-11 |
| 1285127829 | Sheila Quinn | Counselor | 17 Sussex St # 19, Port Jervis, NY 12771-2430 | 2018-06-08 |
| 1316440639 | Jeffrey David Seyer | Counselor | 123 Pike St, Port Jervis, NY 12771-1824 | 2018-03-13 |
| 1760981864 | Margaret Ann Gordon | Counselor | 17 Sussex St, Port Jervis, NY 12771-2430 | 2018-02-05 |
| Find all providers in PORT JERVIS | ||||
| City | PORT JERVIS |
| Zip Code | 12771 |
Please comment or provide details below to improve the information on MS. MARY ANN RICCI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.