Individual provider Active NPI

Michael Archangel D'Anton Sr., PH.D

  • Psychologist
  • Denville, NJ
National Provider Identifier
1255549366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00186700 Issued in NJ
Practice address
40 Bloomfield Ave
Suite 1
Denville, NJ 07834-2742
Phone
(973) 983-9077
Fax
(973) 983-9088
NPI assigned
May 21, 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
Psychologist 103T00000X 35SI00186700 NJ Primary

Addresses

Primary practice location

40 Bloomfield Ave
Suite 1
Denville, NJ 07834-2742

Mailing address

40 Bloomfield Ave
Suite 1
Denville, NJ 07834-2742
Phone (973) 983-9077

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)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00186700NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Hospital Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255549366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BLOOMFIELD AVE",
            "address_2": "SUITE 1",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342742",
            "telephone_number": "973-983-9077",
            "fax_number": "973-983-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BLOOMFIELD AVE",
            "address_2": "SUITE 1",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342742",
            "telephone_number": "973-983-9077",
            "fax_number": "973-983-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANTON",
        "first_name": "MICHAEL",
        "middle_name": "ARCHANGEL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00186700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.