Individual provider Active NPI

Joseph F. Atanasio III

  • Psychologist
  • Forest Hills, NY
National Provider Identifier
1043612351
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
7210 112TH St Ofc B
Forest Hills, NY 11375-5467
Phone
(862) 216-8398
Fax
(718) 873-2089
NPI assigned
Sep 17, 2014
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

7210 112TH St Ofc B
Forest Hills, NY 11375-5467

Mailing address

7210 112TH St Ofc B
Forest Hills, NY 11375-5467
Phone (862) 216-8398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160415001995 CA Practitioner - Clinical Psychologist 1759689227 Reassigns benefits to 1 organization
I20161122001069 NY Practitioner - Clinical Psychologist 1759689227 Reassigns benefits to 2 organizations
Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7210 112TH St
Ofc B
Forest Hills, NY 11375-5467
Phone (862) 216-8398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Geek Therapeutics PLLC CurrentSince Apr 17, 2023 Accepting new patients
Anise Health Psychiatry PC Psychologist Past Accepting new patients

Locations

12100 Wilshire Blvd
Ste 800
Los Angeles, CA 90025
Phone (310) 383-6610

7801 Oakmont Blvd
Ste 101
Ft Worth, TX 76132
Phone (682) 841-1475

909 9th Ave
Ste 208
Ft Worth, TX 76104
Phone (817) 332-0786

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1043612351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 112TH ST OFC B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755467",
            "telephone_number": "862-216-8398",
            "fax_number": "718-873-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 112TH ST OFC B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755467",
            "telephone_number": "862-216-8398",
            "fax_number": "718-873-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATANASIO",
        "first_name": "JOSEPH",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-17",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.