Individual provider Active NPI

Angelo F. Contino, PH.D.

  • Clinical Psychologist
  • Staten Island, NY
National Provider Identifier
1144350604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6239 Issued in NY
Practice address
183 Willow Rd E
Staten Island, NY 10314-1612
Phone
(171) 844-8088
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6239 NY Primary

Addresses

Primary practice location

183 Willow Rd E
Staten Island, NY 10314-1612

Mailing address

34 Brentwood Ave
Staten Island, NY 10301-2004
Phone (171) 872-7475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000624 NY Practitioner - Clinical Psychologist 7315968690 Practice locations: Staten Island Nyc, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

183 Willow Rd E
Staten Island Nyc, NY 10304-1612
Phone (718) 448-0885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6239NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144350604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BRENTWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012004",
            "telephone_number": "171-872-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 WILLOW RD E",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141612",
            "telephone_number": "171-844-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTINO",
        "first_name": "ANGELO",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "6239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.