Active NPI
Anthony J. Cellucci, PH.D.
- Clinical Psychologist
- Greenville, NC
National Provider Identifier
1205995180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 344
- Practice address
- East Carolina University, 5TH Street
Ecu Pass, Rawl BLD, 301
Greenville, NC 27858 - Phone
- (252) 737-4180
- Fax
- (252) 737-4166
- NPI assigned
- Dec 7, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 344 | ID | Primary |
Addresses
Primary practice location
East Carolina University, 5TH Street
Ecu Pass, Rawl BLD, 301
Greenville, NC 27858
Mailing address
231 Churchill Dr
Greenville, NC 27858-8947
Phone (252) 702-3475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018 | Other | NC | NC PSYCHOLOGY 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344 | ID | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1205995180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 CHURCHILL DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278588947",
"telephone_number": "252-702-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EAST CAROLINA UNIVERSITY, 5TH STREET",
"address_2": "ECU PASS, RAWL BLD, 301",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-737-4180",
"fax_number": "252-737-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELLUCCI",
"first_name": "ANTHONY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ID",
"license": "344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC PSYCHOLOGY LICENSE",
"identifier": "1018",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
- James William Caviness III, CRNA
- Lyndsay L Cayton, MS, LCMHC
- CBW Care LLC
- Carolina Celades Errando
- Celeste M Good (Medical Park Psychiatric Associates)
- Katherine Anne Centeno
- Center for Counseling and Business Consultation, P.L.L.C.
- Center for Scoliosis & Spinal Surgery, PLLC
- Connie D Cerne, PAC
- Mark R. Cervi, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.