NPIMap

Organization Active NPI

Campbell and Santoro Psychologists, PC

  • Psychologist
  • Hollis, NY
National Provider Identifier
1124072210
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
013294 Issued in NY
Legal business name
CAMPBELL AND SANTORO PSYCHOLOGISTS, PC
Practice address
19544 Woodhull Ave
Hollis, NY 11423-2982
Phone
(718) 740-3500
NPI assigned
May 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony Vincent Santoro, PSY.D.NPI 1912941352
Title
Vice President
Phone
(631) 979-0438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 013294 NY Primary

Addresses

Primary practice location

19544 Woodhull Ave
Hollis, NY 11423-2982

Mailing address

111 Smithtown Byp
Suite 121
Hauppauge, NY 11788-2524
Phone (631) 979-0438

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124072210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP",
            "address_2": "SUITE 121",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882524",
            "telephone_number": "631-979-0438",
            "fax_number": "631-979-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19544 WOODHULL AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232982",
            "telephone_number": "718-740-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL AND SANTORO PSYCHOLOGISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "631-979-0438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.