Individual provider Active NPI

Anthony Donato, PSYCHOLOGY STUDENT

  • Student in an Organized Health Care Education/Training Program
  • Dayton, OH
National Provider Identifier
1306495288
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3640 Colonel Glenn Hwy
Sopp, Wright State Univ. 117 Health Science BLDG
Dayton, OH 45435
Phone
(937) 775-3458
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH Primary

Addresses

Primary practice location

3640 Colonel Glenn Hwy
Sopp, Wright State Univ. 117 Health Science BLDG
Dayton, OH 45435

Mailing address

3640 Colonel Glenn Hwy
Sopp, Wright State Univ. 117 Health Science BLDG
Dayton, OH 45435
Phone (937) 775-3458

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

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1306495288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 COLONEL GLENN HWY",
            "address_2": "SOPP, WRIGHT STATE UNIV. 117 HEALTH SCIENCE BLDG",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45435",
            "telephone_number": "937-775-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 COLONEL GLENN HWY",
            "address_2": "SOPP, WRIGHT STATE UNIV. 117 HEALTH SCIENCE BLDG",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45435",
            "telephone_number": "937-775-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATO",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PSYCHOLOGY STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.