Healthcare Provider Details

I. General information

NPI: 1467380519
Provider Name (Legal Business Name): REBECCA ARCIDIACONO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 OLMSTEAD RD
REDDING CT
06896-1021
US

IV. Provider business mailing address

43 OLMSTEAD RD
REDDING CT
06896-1021
US

V. Phone/Fax

Practice location:
  • Phone: 914-719-6643
  • Fax:
Mailing address:
  • Phone: 914-719-6643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REBECCA ARCIDIACONO
Title or Position: FOUNDER AND PSYCHOTHERAPIST
Credential: LICSW, LCSW
Phone: 914-719-6643