MARY S RICCELLI NP
NPI 1407871643
Nurse Practitioner - Psychiatric/Mental Health in Parker, CO

Q: What is Mary Riccelli's NPI number?

The NPI number for Mary Riccelli is 1407871643. It was assigned to this individual provider in the NPPES registry on July 12, 2006. The provider is also known as Mary S Carista Pmhnp-Bc.

Q: What is Mary Riccelli'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 Mary Riccelli was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 July 12, 2006

10290 S PROGRESS WAY STE 208, PARKER, CO 80134(720) 317-9460(877) 268-5001 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2021, Feb 26, 2021, Oct 5, 2020 and 7 more (10 updates tracked since 2017).

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About Mary S Riccelli Np NPPES

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

MARY S RICCELLI NP (NPI 1407871643) is an individual psychiatric/mental health provider in Parker, Colorado, licensed in Colorado (APN0004954) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1407871643

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARY S RICCELLICredential: NP

Location Address10290 S PROGRESS WAY STE 208Parker, CO 80134-9056

Mailing Address488 Pawling AveTroy, NY 12180-5832 · (720) 317-9460 · Fax (877) 268-5001

Phone(720) 317-9460

Fax(877) 268-5001

Sole ProprietorYes

Enumeration DateJuly 12, 2006

Last NPPES UpdateMay 14, 202110 updates tracked since enumeration

NPPES CertifiedMay 14, 2021

✔ NPI 1407871643 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 CO · APN0004954

10290 S PROGRESS WAY STE 208, Parker, CO 80134

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Other Names 1

Former Name (1)Mary S Carista Pmhnp-bc

Other Identifiers 1

Medicaid41929705CO

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELIORA DIRECT HEALTH LLC

Nurse Practitioner (Psychiatric/Mental Health)

10290 S PROGRESS WAY STE 208
PARKER, CO 80134

Douglas County (303) 317-3088

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 Mary Riccelli's NPI number?

The NPI number for Mary Riccelli is 1407871643. It was assigned to this individual provider in the NPPES registry on July 12, 2006. The provider is also known as Mary S Carista Pmhnp-Bc.

Where is Mary Riccelli located?

Mary Riccelli practices at 10290 S Progress Way Ste 208, Parker, CO 80134. The listed phone number is (720) 317-9460.

What is Mary Riccelli'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 Mary Riccelli was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.