Anthony R Collica Nurse Practitioner in Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ANTHONY R COLLICA NURSE PRACTITIONER IN PSYCHIATRY PLLC

Practice address

45 St John St
Goshen, NY 10924-1518

Phone

(845) 645-2625

NPI assigned

Jun 21, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Richard Collica, NPNPI 1558938548

Title

Nurse Practitioner in Psychiatry

Phone

(845) 645-2625

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony R Collica, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Jervis, NY
  • NPI 1558938548

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1003547076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHEROKEE CIR",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184286013",
            "telephone_number": "845-283-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ST JOHN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241518",
            "telephone_number": "845-645-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY R COLLICA NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "COLLICA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "NURSE PRACTITIONER IN PSYCHIATRY",
        "authorized_official_telephone_number": "845-645-2625",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breeze S Andrade
• Vicki Lynn Andrade, COTA
• Abigail Rose Andrews, MS, CCC-SLP
• Stephen Andrews, RPH
• Ashley Annicaro
• Melanie Aparicio
• Marc Hunter Appel, MD
• Tibaire Araujo
• Meghan E Arfsten
• Patricia E Arnold

• All providers in Goshen, NY
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.