Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CIVITA DYER
NPI 1134038565
Nurse Practitioner - Psychiatric/Mental Health in Endicott, NY

Q: What is Civita Dyer's NPI number?

The NPI number for Civita Dyer is 1134038565. It was assigned to this individual provider in the NPPES registry on September 2, 2026.

Q: What is Civita Dyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Civita Dyer was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2026

102 N KELLY AVE, ENDICOTT, NY 13760(607) 743-1719 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Civita Dyer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CIVITA DYER (NPI 1134038565) is an individual psychiatric/mental health provider in Endicott, New York, licensed in New York (F408977) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1134038565

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCIVITA DYER

Location Address102 N KELLY AVEEndicott, NY 13760-3427

Mailing Address102 N Kelly AveEndicott, NY 13760-3427 · (607) 743-1719

Phone(607) 743-1719

Sole ProprietorNo

Enumeration DateSeptember 2, 2026

NPPES CertifiedSeptember 2, 2026

✔ NPI 1134038565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F408977

102 N KELLY AVE, Endicott, NY 13760

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Civita Dyer's NPI number?

The NPI number for Civita Dyer is 1134038565. It was assigned to this individual provider in the NPPES registry on September 2, 2026.

Where is Civita Dyer located?

Civita Dyer practices at 102 N Kelly Ave, Endicott, NY 13760. The listed phone number is (607) 743-1719.

What is Civita Dyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Civita Dyer was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.