Pamela Fantini, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY4599 Issued in MA

Practice address

20 Central St
Salem, MA 01970-3739

Phone

(781) 639-2359

Fax

(978) 745-5455

NPI assigned

Jan 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pamela Fantini PHD LLC

  • Community/Behavioral Health Agency
  • Marblehead, MA
  • NPI 1770822173
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235287400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MILL POND",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452686",
            "telephone_number": "781-639-2359",
            "fax_number": "978-745-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTRAL ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703739",
            "telephone_number": "781-639-2359",
            "fax_number": "978-745-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTINI",
        "first_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY4599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIOMS",
            "identifier": "124611",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "713383",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "W04460",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "062918000",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Falkowski, PSYD
• Jayne L Fallis-Jenkins, LIC. AC.
• Family Continuity Program, Inc. (joy schulte-levitan)
• David Riss Fang, D.M.D.
• Christian Fantini, D.C.
• Gerald Mark Farber, ED.D
• Mark Farrin
• Tina Farulla
• Elaine E Faunce, PH D
• Marlene Abber Faust, M.S., C.C.C.

• Clinical Psychologist in Salem, MA
• Providers in Salem, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.