NPIMap

Organization Active NPI

Anthony F Bongiovanni

  • Clinical Psychologist
  • Amherst, NY
National Provider Identifier
1003457698
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ANTHONY F BONGIOVANNI
Practice address
315 Alberta Dr Ste 211
Amherst, NY 14226-1814
Phone
(716) 837-6705
Fax
(716) 837-6759
NPI assigned
Oct 4, 2019
Last updated
Oct 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony F Bongiovanni, PH.D.NPI 1710057039
Title
Owner Single Member LLC
Phone
(716) 969-3756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

315 Alberta Dr Ste 211
Amherst, NY 14226-1814

Mailing address

315 Alberta Dr Ste 211
Amherst, NY 14226-1814
Phone (716) 837-6705

Other practice location 1

3065 Southwestern Blvd Ste 204
Orchard Park, NY 14127-1239
Phone (716) 675-9232

National Provider Directory

National Provider Directory

Locations

3065 Southwestern Blvd
Ste 204
Orchard Park, NY 14127
Phone (716) 675-9232

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1003457698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ALBERTA DR STE 211",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261814",
            "telephone_number": "716-837-6705",
            "fax_number": "716-837-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ALBERTA DR STE 211",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261814",
            "telephone_number": "716-837-6705",
            "fax_number": "716-837-6759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3065 Southwestern Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271239",
            "country_code": "US",
            "telephone_number": "716-675-9232",
            "fax_number": "716-675-9217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANTHONY F BONGIOVANNI",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "BONGIOVANNI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER SINGLE MEMBER LLC",
        "authorized_official_telephone_number": "716-969-3756",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.