Active NPI
Anthony L Drago, EDD
- Counseling Psychologist
- East Stroudsburg, PA
National Provider Identifier
1467476432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS004331L
- Practice address
- 79 S Courtland St
East Stroudsburg, PA 18301-2865 - Phone
- (570) 476-6301
- Fax
- (570) 620-2131
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PS004331L | PA | Primary |
Addresses
Primary practice location
79 S Courtland St
East Stroudsburg, PA 18301-2865
Mailing address
127 Kettle Ridge Dr
Stroudsburg, PA 18360-7131
Phone (570) 476-6301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS004331L | Other | PA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061108000536 | PA | Practitioner - Clinical Psychologist | 6204833049 | Practice locations: East Stroudsburg, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
79 S Courtland St
East Stroudsburg, PA 18301-2865
Phone (570) 476-6301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1467476432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 KETTLE RIDGE DR",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183607131",
"telephone_number": "570-476-6301",
"fax_number": "570-620-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 S COURTLAND ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183012865",
"telephone_number": "570-476-6301",
"fax_number": "570-620-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGO",
"first_name": "ANTHONY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS004331L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PS004331L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.