DR. TECLA LINDA CRITELLI (NPI# 1710168182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710168182 |
| Entity Type | Individual |
| Full Name | DR. TECLA LINDA CRITELLI |
| Credential | MD |
| Practice Address |
35 Dock St Yonkers NY 10701-2733 |
| Mailing Address |
1156 N Broadway Yonkers NY 10701-1108 |
| Practice Telephone | 9149653700 |
| Practice Fax Number | 9149977942 |
| Mailing Telephone | 9149653700 |
| Mailing Fax Number | 9149977942 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2009-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
121292 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AGENCY NPI # | 1285628552 | 01 |
| NY | AGENCY MEDICAID PROVIDER ID | 00355940 | 01 |
| NY | AGENCY MEDICARE ID | WVE061 | 01 |
| Street Address |
35 DOCK ST |
| City | YONKERS |
| State | NY |
| Zip Code | 10701-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003867235 | Mary Anna Lincoln | Psychiatry & Neurology | 35 Dock St, Andrus Children's Center Mental Health Division, Yonkers, NY 10701-2733 | 2006-05-12 |
| 1124632294 | Michael Thomas Kelly | Social Worker | 35 Dock St, Yonkers, NY 10701-2733 | 2020-09-04 |
| 1003429564 | Lucie Gibson | Counselor | 35 Dock St, Yonkers, NY 10701-2733 | 2020-08-25 |
| 1578184644 | Emily Kimball Murphy | Social Worker | 35 Dock St, Yonkers, NY 10701-2733 | 2020-04-30 |
| 1740801836 | Laura Johanson | Student in an Organized Health Care Education/Training Program | 35 Dock St, Yonkers, NY 10701-2733 | 2020-04-30 |
| 1316586837 | Ashley Alahakoon | Counselor | 35 Dock St, Yonkers, NY 10701-2733 | 2020-01-01 |
| 1003452756 | Ayaralisy Marte | Counselor | 35 Dock St, Yonkers, NY 10701-2733 | 2019-11-18 |
| 1043879695 | Sabrina Orsola Mazzuoccolo | Social Worker | 35 Dock St, Yonkers, NY 10701-2733 | 2019-06-07 |
| 1063070555 | Frances Bigay-morales | Psychologist | 35 Dock St, Yonkers, NY 10701-2733 | 2019-05-30 |
| 1720646482 | Vaschele Williams | Student in an Organized Health Care Education/Training Program | 35 Dock St, Yonkers, NY 10701-2733 | 2019-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978357 | Nisha Ann Jacob | Student in an Organized Health Care Education/Training Program | Saint Joseph's Medical Center, 127 South Broadway, Yonkers, NY 10701 | 2020-03-27 |
| 1306471412 | Mchealth Nemt LLC | Non-emergency Medical Transport (VAN) | 10 Locust Hill Avenue, Suite 2, Yonkers, NY 10701 | 2020-03-09 |
| 1073150314 | Daniel Owusu-ansah | Registered Nurse | 615 Warburton Ave, Apt 4e, Yonkers, NY 10701 | 2019-12-05 |
| 1447738067 | Britney Hudson | Counselor | 58 Hudson St, Yonkers, NY 10701 | 2018-08-06 |
| 1104320704 | Jonathan Alfred Manley | Specialist | 1 Odell Plaza - Fred S. Keller School, Suite #263, Yonkers, NY 10701 | 2018-03-20 |
| 1841718905 | Tanesha Lyttle | Licensed Practical Nurse | 50 Hewphorne Ave., Yonkers, NY 10701 | 2017-09-08 |
| 1598297715 | Lauren Ramm | Surgery | 967 North Broadway, Medical Education Department, Yonkers, NY 10701 | 2017-03-28 |
| 1063953115 | Gina Bianca Butrico | Early Intervention Provider Agency | 300 Corporate Blvd. South, Yonkers, NY 10701 | 2017-03-09 |
| 1225574551 | Syed Islam | Assistant Behavior Analyst | 6 B Greene Pl., Yonkers, NY 10701 | 2017-01-10 |
| 1306296470 | Rebecca Hill | Physician Assistant | 984 N Broadway Ste 509, Yonkers, NY 10701 | 2016-06-20 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003867235 | Mary Anna Lincoln | Psychiatry & Neurology | 35 Dock St, Andrus Children's Center Mental Health Division, Yonkers, NY 10701-2733 | 2006-05-12 |
| 1245534965 | Jacqueline Callejas | Psychiatry & Neurology | 463 Hawthorne Ave, Yonkers, NY 10705-3441 | 2011-01-10 |
| 1700032794 | Antoine Giscard Adam | Psychiatry & Neurology | 127 S Broadway, Yonkers, NY 10701-4006 | 2008-08-11 |
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| 1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
| 1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
| 1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
| 1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
| 1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
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| 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.