Active NPI
Anthony Joseph Pinizzotto, PHD
- Clinical Psychologist
- Chantilly, VA
National Provider Identifier
1447477047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810003815
- Practice address
- 13807 Poplar Tree Rd
Chantilly, VA 20151-2514 - Phone
- (703) 999-8577
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3514 | MD | |
| Clinical Psychologist | 103TC0700X | 0810003815 | VA | Primary |
Addresses
Primary practice location
13807 Poplar Tree Rd
Chantilly, VA 20151-2514
Mailing address
13807 Poplar Tree Rd
Chantilly, VA 20151-2514
Phone (703) 999-8577
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3514 | MD | MD | Psychologist |
| 0810003815 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1447477047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13807 POPLAR TREE RD",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512514",
"telephone_number": "703-999-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13807 POPLAR TREE RD",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512514",
"telephone_number": "703-999-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINIZZOTTO",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "3514",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.