DR. CRISTA ELIZABETH MARACIC (NPI# 1194323618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194323618 |
| Entity Type | Individual |
| Full Name | DR. CRISTA ELIZABETH MARACIC |
| Other Name | CRISTA ELIZABETH GALLO |
| Credential | PHD |
| Practice Address |
169 Putnam Hall Stony Brook NY 11794-8790 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6316329510 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 023943 | NY | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
023943 | NY | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
023943 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
023943 | NY | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
023943 | NY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
023943 | NY | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
023943 | NY | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
023943 | NY | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
023943 | NY | Behavioral Health & Social Service Providers |
| Street Address |
169 PUTNAM HALL |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-8790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588606560 | David Makowski | Psychologist | 169 Putnam Hall, Stony Brook University - South Campus, Stony Brook, NY 11794-1595 | 2006-06-12 |
| 1366054645 | Christopher James Graffitti | Nurse Practitioner | 169 Putnam Hall, Stony Brook, NY 11794-0001 | 2020-08-19 |
| 1013527480 | Allison Shana Nahmias | Psychologist | 169 Putnam Hall, Stony Brook, NY 11794-0001 | 2020-07-31 |
| 1619453446 | Jenna T Palladino | Psychologist | 169 Putnam Hall, Stony Brook, NY 11794 | 2018-07-16 |
| 1487054367 | William Calabrese | Counselor | 169 Putnam Hall, Stony Brook, NY 11794-2512 | 2014-08-28 |
| 1912179128 | Sara L Weisenbach | Clinical Neuropsychologist | 169 Putnam Hall, Stony Brook, NY 11790 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760889661 | Brittain Mahaffey | Psychologist | Suny Putnam Hl, Stony Brook, NY 11794-8790 | 2014-11-21 |
| 1407294580 | Genna Faith Popovich Hymowitz | Psychologist | 469 Psychology Bldg B, Department of Psychology, Stony Brook University, Stony Brook, NY 11794-2520 | 2013-06-11 |
| 1124338017 | Veronique Regina Deutsch-anzalone | Psychologist | 100 Nicolls Rd Dept Of, Stony Brook, NY 11794-0012 | 2010-10-14 |
| 1124217195 | John G. Cottone, Psychologist, Pllc | Psychologist | 1099 N Country Rd, Suite L, Stony Brook, NY 11790-1924 | 2007-10-16 |
| 1285829689 | Bethany Clarke Riddle | Psychologist | 100 Nicholls Rd., Stony Brook, NY 11790-3100 | 2007-09-09 |
| 1053513317 | Joanne Davila | Psychologist | 79 Christian Ave, Stony Brook, NY 11790-1201 | 2007-05-31 |
| 1396887733 | John Gregory Cottone | Psychologist | 1099 North Country Rd, Suite L, Stony Brook, NY 11790-1999 | 2007-02-13 |
| 1417097247 | Carol Harriet Sprafkin | Psychologist | 207 Hallock Road, Suite 204, Stony Brook, NY 11790 | 2007-02-08 |
| 1518013895 | Brett M. Liquori | Psychologist | 12 Westwood Ave, Stony Brook, NY 11790-2837 | 2007-01-26 |
| 1407914518 | Anne Virginia Peterson | Psychologist | Stadium Rd, 235 Counseling Ctr, Stony Brook, NY 11794-3100 | 2006-12-04 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
Please comment or provide details below to improve the information on DR. CRISTA ELIZABETH MARACIC.
| 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.