CHRISTINE M CHRUSCICKI (NPI# 1922001734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922001734 |
| Entity Type | Individual |
| Full Name | CHRISTINE M CHRUSCICKI |
| Credential | M.D. |
| Practice Address |
100 Pinewild Dr Suite 2a Rochester NY 14606-4200 |
| Practice Telephone | 5853686700 |
| Practice Fax Number | 5853686767 |
| Mailing Telephone | 5853686700 |
| Mailing Fax Number | 5853686767 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-10-10 |
| 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 |
223997 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | INDEPENDENT HEALTH | 1590756 | 01 |
| NY | CAQH | 10696776 | 01 |
| NY | UNIVERA | 00027081901 | 01 |
| NY | HEALTH INTEGRATED | 000528078001 | 01 |
| Street Address |
100 PINEWILD DR SUITE 2A |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14606-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311701 | Amanda Russi | Counselor | 100 Pinewild Dr, Rochester, NY 14606-4200 | 2018-10-01 |
| 1073005260 | Gianna Grosser | Counselor | 100 Pinewild Dr, Rochester, NY 14606-4200 | 2018-06-04 |
| 1669908497 | Shannon Marie Davis | Counselor | 100 Pinewild Dr, St. 2a, Rochester, NY 14606-4200 | 2017-05-11 |
| 1619428968 | Jessica E. Montalbano | Marriage & Family Therapist | 100 Pinewild Dr, Suite 2a, Rochester, NY 14606-4200 | 2016-10-21 |
| 1174079586 | Nichole Ditch | Counselor | 100 Pinewild Dr, Suite 2a, Rochester, NY 14606-4200 | 2016-08-27 |
| 1386190890 | Jennifer J Mooney | Counselor | 100 Pinewild Dr, Suite 2a, Rochester, NY 14606-4200 | 2016-08-26 |
| 1336591700 | Deborah F Lewin | Counselor | 100 Pinewild Dr, Suite 2a, Rochester, NY 14606-4200 | 2016-07-08 |
| 1700238466 | Melissa Waker | Marriage & Family Therapist | 100 Pinewild Dr, Suite 2a, Rochester, NY 14606-4200 | 2016-07-06 |
| 1336591098 | Stephanie Derico | Counselor | 100 Pinewild Dr, Suite 2a, Rochester, NY 14606-4200 | 2016-07-06 |
| 1871945675 | Samantha Spivey | Marriage & Family Therapist | 100 Pinewild Dr, Rochester, NY 14606-4200 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047686 | Katherine Anne Blakely | Social Worker | 100 Pinewild Drive, Second Floor Suite A, Rochester, NY 14606 | 2020-03-04 |
| 1023501855 | Diana Moskalyuk | Registered Nurse | 57 Gates Manor Dr, Rochester, NY 14606 | 2018-06-06 |
| 1245732221 | Daphne Bell | Driver | 79 Curlew St., Rochester, NY 14606 | 2018-03-06 |
| 1275031171 | Meghan Elizabeth Wallace | Social Worker | 1305 Lyell Avenue, Rochester, NY 14606 | 2018-01-25 |
| 1114277860 | Debra A Bucklaew | Registered Nurse | 57 Baier Dr, Rochester, NY 14606 | 2012-09-10 |
| 1427327998 | Charita Y Murray | Licensed Practical Nurse | 48 Rogers Ave., Rochester, NY 14606 | 2011-12-29 |
| 1649556804 | Jamila Kali Miller | Family Medicine | 110 Canton St, Rochester, NY 14606 | 2011-11-01 |
| 1720375447 | Jasmine Marie Radcliff | Licensed Practical Nurse | 34 Ardella St, Rochester, NY 14606 | 2011-07-01 |
| 1104110766 | Ashly Jasmine Goodwill | Licensed Practical Nurse | 16 Glasser St, Rochester, NY 14606 | 2011-06-01 |
| 1497067359 | Shahada D Ware | Licensed Practical Nurse | 222 Mcnaughton St., Rochester, NY 14606 | 2010-07-08 |
| Find all providers in zip 14606 | ||||
| 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 |
|---|---|---|---|---|
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1710389069 | John F. Erhart Md PC | Psychiatry & Neurology | 85 Summit Dr, Rochester, NY 14620-3129 | 2014-09-18 |
| 1609910116 | Mohsen Emami | Psychiatry & Neurology | 3300 Dewey Ave St Josephs Villa of Rochester, Rochester, NY 14616 | 2007-02-16 |
| 1316569569 | Flower City Psychiatry | Psychiatry & Neurology | 140 Allens Creek Rd Ste 200, Rochester, NY 14618-3307 | 2020-05-11 |
| 1770901100 | Jessica Ee | Psychiatry & Neurology | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2014-04-02 |
| 1790948917 | Abiola O Adelaja | Psychiatry & Neurology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2008-07-08 |
| 1336326180 | Sasha D Massachi | Psychiatry & Neurology | 601 Elmwood Avenue, Rochester, NY 14642-0001 | 2008-01-23 |
| 1053523308 | Eugenio Contreras Iv | Psychiatry & Neurology | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2007-05-07 |
| 1093844334 | Sandra Beth Mitzner | Psychiatry & Neurology | 3300 Dewey Ave, Rochester, NY 14616-3741 | 2007-03-04 |
| 1205997954 | Stuart L. Loeb | Psychiatry & Neurology | 224 Alexander St, Rochester, NY 14607-4000 | 2006-12-13 |
| Find all providers in ROCHESTER | ||||
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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.