Basil Anton, PH.D.
Individual provider Active NPI Clinical Psychologist · Cheshire, CT
NPI 1063563377 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063563377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 001366 (CT)
- Practice address
- 908 S Meriden Rd
Cheshire, CT 06410-1863 - Phone
- (203) 272-0353
- Fax
- (203) 271-3243
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001366 | CT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001366 | CT | Yes |
Addresses
Primary practice location
908 S Meriden Rd
Cheshire, CT 06410-1863
Mailing address
908 S Meriden Rd
Cheshire, CT 06410-1863
Phone (203) 272-0353
Other providers in Cheshire, CT
- Amanda Ambrosio
- Ana Maria Apoltan MD PC
- Mariola Anachasian
- Debra McNamara Anastasio
- Suzanne C Andreyev
- Kirstyn Arcata
- Lisa Michelle Arciero
- Ardova Counseling, LLC
- Giovanni Aresco
- Alysha Armstrong
All providers in Cheshire, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.