Anthony Angelo Racaniello, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

188585 Issued in NY

Practice address

6722 Erie Rd
Derby, NY 14047-9670

Phone

(716) 947-2097

Fax

(716) 947-5909

NPI assigned

May 25, 2006

Last updated

Mar 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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.

• Professional Psychiatric Services P.C.

  • Psychiatry Physician
  • Derby, NY
  • NPI 1417902065
  Authorized official Same address or phone
• Horizon Health Services Inc

  • Community/Behavioral Health Agency
  • Getzville, NY
  • NPI 1043387152
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1497701478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 E MAIN STREET RD",
            "address_2": "PO BOX 803",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203496",
            "telephone_number": "716-947-2097",
            "fax_number": "716-947-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6722 ERIE RD",
            "city": "DERBY",
            "state": "NY",
            "postal_code": "140479670",
            "telephone_number": "716-947-2097",
            "fax_number": "716-947-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACANIELLO",
        "first_name": "ANTHONY",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "188585",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "188585",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "188585",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01629212",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Lee. Pope, D.D.S.
• Anjana Hemraj Porwal, RPA-C
• Professional Psychiatric Services P.C.
• Elizabeth Mae Quesenberry, LMT
• R J Joba OD PC
• Brittany Raiman, OTR/L
• Emily Rine, PHARM D
• Miranda Ring, FNP
• Cherie B Ruben, PHD
• Ruby Orcutt Mental Health Counseling, PC

• Psychiatry Physician in Derby, NY
• Providers in Derby, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.