Dr Anthony S Capozzi LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME105803 Issued in FL

Legal business name

DR ANTHONY S CAPOZZI LLC

Practice address

1730 Dunlawton Ave Ste 3
Port Orange, FL 32127-8986

Phone

(386) 957-3905

NPI assigned

Aug 31, 2012

Last updated

May 24, 2022By 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. Anthony Capozzi

Title

Owner

Phone

(386) 957-3905

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Shane C Porter, LMHC

  • Professional Counselor
  • New Smyrna Beach, FL
  • NPI 1801858329
  NPD (past)

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1063761427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 JULIA ST UNIT 100",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687713",
            "telephone_number": "386-423-9161",
            "fax_number": "386-423-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 DUNLAWTON AVE STE 3",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278986",
            "telephone_number": "386-957-3905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Julia St Unit 100",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321687713",
            "country_code": "US",
            "telephone_number": "386-423-9161",
            "fax_number": "386-423-3094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR ANTHONY S CAPOZZI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "CAPOZZI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-957-3905",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME105803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "EP827Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Donnelly
• Marissa Donofrio
• Jeannie Laslo Douglas, AP, DIPL OM, ERYT
• Paul Douglas
• Josh Dowd
• Dr Joseph Battaglia DC PA
• Dr K Primary Care, LLC (Dr K Primary Care)
• Dr. Michael Hay and Associates, LLC
• Dr. Pamela Kirby PA (Pamela Kirby, DPM)
• Dr. Pamela Kirby PA

• Psychiatry Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.