Mary Ann Cantilena, PSY.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

157 Giffords LN
Staten Island, NY 10308-2012

Phone

(718) 984-5402

Fax

(718) 984-5402

NPI assigned

Apr 12, 2007

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

Medicare fee-for-service enrollment

Enrolled in NY

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336363274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 GIFFORDS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082012",
            "telephone_number": "718-984-5402",
            "fax_number": "718-984-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 GIFFORDS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082012",
            "telephone_number": "718-984-5402",
            "fax_number": "718-984-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTILENA",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Canlas
• Colleen Ann Cannatelli, RN
• Giovanna Francesca Cannavacciuolo, R.N.
• Diana Cantalupo, LMHC-D
• Victoria Anne Cantalupo, BS PSYCHOLOGY
• Crystal Simone Canty, CASACT
• Amanda Love Cao
• Kerry Cao, MD
• Qun Cao, PHARM.D
• Donna Michele Capasso

• Cognitive & Behavioral Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• 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.