Individual provider Active NPI

Antonio Scioli, PH.D.

  • Clinical Psychologist
  • Concord, MA
National Provider Identifier
1144547639
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7357 Issued in MA
Practice address
9 Damonmill SQ
Concord, MA 01742-2858
Phone
(781) 254-9156
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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 7357 MA Primary

Addresses

Primary practice location

9 Damonmill SQ
Concord, MA 01742-2858

Mailing address

Psychology Department Keene State College
229 Main Street
Keene, NH 03435-0001
Phone (781) 254-9156

Other identifiers 1

IdentifierTypeStateIssuer
7357OtherMAPSYCHOLOGY LICENSED HEALTH SERVICE PROVIDER

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7357MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1144547639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSYCHOLOGY DEPARTMENT KEENE STATE COLLEGE",
            "address_2": "229 MAIN STREET",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034350001",
            "telephone_number": "781-254-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DAMONMILL SQ",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422858",
            "telephone_number": "781-254-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIOLI",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSED HEALTH SERVICE PROVIDER",
            "identifier": "7357",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.