Individual provider Active NPI

Anthony P Tranchita, PHD

  • Prescribing (Medical) Psychologist
  • Cass Lake, MN
National Provider Identifier
1437139847
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
39 Issued in NM
Practice address
425 7TH St NW
Cass Lake, MN 56633-3360
Phone
(218) 335-3200
NPI assigned
Jan 20, 2006
Last updated
Feb 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2570-057 WI
Prescribing (Medical) Psychologist 103TP0016X 39 NM Primary

Addresses

Primary practice location

425 7TH St NW
Cass Lake, MN 56633-3360

Mailing address

301 N 1St St
Altus, OK 73523-5004
Phone (580) 481-5376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151030001606 TX Practitioner - Clinical Psychologist 1052621208 Reassigns benefits to 3 organizations
I20191126001812 WI Practitioner - Clinical Psychologist 1052621208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2570-057WIMDPsychologist
39NMMDPrescribing (Medical) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jicarilla IHS Pharmacy CurrentSince Mar 5, 2023 Accepting new patients
Red Cliff Band of Lake Superior Chippewa Indians CurrentSince Sep 1, 2023 Accepting new patients
Department of Health & Human Services PHS IHS CurrentSince Mar 17, 2019 Accepting new patients
Red Cliff Band of Lake Superior Chippewa Indians CurrentSince Sep 1, 2023 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Sep 14, 2015 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients

Locations

350 E Devon Ave
Itasca, IL 60143

425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

36745 Aiken Rd
Bayfield, WI 54814
Phone (715) 779-3707

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1437139847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 1ST ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735235004",
            "telephone_number": "580-481-5376",
            "fax_number": "580-481-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 7TH ST NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333360",
            "telephone_number": "218-335-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANCHITA",
        "first_name": "ANTHONY",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2570-057",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cass Lake, MN

Sources for this page

Verify at the official NPI Registry.