Michael P. Andronico, PH.D., P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100065500 Issued in NJ

Legal business name

MICHAEL P. ANDRONICO, PH.D., P.C.

Practice address

107 Cedar Grove LN
Suite 103 G
Somerset, NJ 08873-4719

Phone

(732) 564-9500

Fax

(732) 564-9501

NPI assigned

Nov 18, 2008

Last updated

Feb 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael P. Andronico, PH.D.NPI 1467661645

Title

Psychologist

Phone

(732) 564-9500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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.

• Michael P Andronico, PHD

  • Psychologist
  • Somerset, NJ
  • NPI 1467661645
  Medicare reassignment NPD Authorized official
• Barbara B Dazzo, PHD

  • Social Worker
  • Somerset, NJ
  • NPI 1922219542
  NPD (past)
• Marcia Platt, LCSW

  • Clinical Social Worker
  • Somerset, NJ
  • NPI 1437277365
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1053566000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CEDAR GROVE LN",
            "address_2": "SUITE 103 G",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734719",
            "telephone_number": "732-564-9500",
            "fax_number": "732-564-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CEDAR GROVE LN",
            "address_2": "SUITE 103 G",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734719",
            "telephone_number": "732-564-9500",
            "fax_number": "732-564-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. ANDRONICO, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "ANDRONICO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-564-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "35S100065500",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100065500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Milizzo, LCSW

• Psychologist in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.