Active NPI
Pantaleno Psychological Services,PLLC
- Cognitive & Behavioral Psychologist
- Commack, NY
National Provider Identifier
1235251497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 009000
- Legal business name
- PANTALENO PSYCHOLOGICAL SERVICES,PLLC
- Practice address
- 358 Veterans Memorial Hwy
Commack, NY 11725-4326 - Phone
- (631) 543-8336
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Pantaleno, PH.D.
- Title
- Director
- Phone
- (631) 543-8336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 009000 | NY | Primary |
Addresses
Primary practice location
358 Veterans Memorial Hwy
Commack, NY 11725-4326
Mailing address
90 Blossom Heath Ave
Lynbrook, NY 11563-2008
Phone (516) 599-6629
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Lynbrook, NY
- NPI 1700915626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235251497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 BLOSSOM HEATH AVE",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632008",
"telephone_number": "516-599-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 VETERANS MEMORIAL HWY",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254326",
"telephone_number": "631-543-8336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANTALENO PSYCHOLOGICAL SERVICES,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PANTALENO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "631-543-8336",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "009000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, 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.