Active NPI
Michael Paul Anthony, D.O.
- Psychiatry Physician
- Putnam, CT
National Provider Identifier
1124008552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 045798
- Practice address
- 320 Pomfret St
Putnam, CT 06260-1836 - Phone
- (860) 928-6541
- Fax
- (860) 963-6393
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 045798 | CT | Primary |
Addresses
Primary practice location
320 Pomfret St
Putnam, CT 06260-1836
Mailing address
320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045798 | Other | CT | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1124008552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 POMFRET ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601836",
"telephone_number": "860-928-6541",
"fax_number": "860-963-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 POMFRET ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601836",
"telephone_number": "860-928-6541",
"fax_number": "860-963-6393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "045798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "045798",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.