Active NPI
Vito John Dongiovanni, PSYD
- Clinical Psychologist
- Torrance, PA
National Provider Identifier
1548288509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-003275L
- Practice address
- State Route 1014
Torrance, PA 15779-1111 - Phone
- (724) 675-2001
- Fax
- (724) 675-2003
- NPI assigned
- Jul 18, 2006
- Last updated
- Jun 2, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS-003275L | PA | Primary |
Addresses
Primary practice location
State Route 1014
Torrance, PA 15779-1111
Mailing address
P.O.Box 111
Torrance State Hospital
Torrance, PA 15779-1111
Phone (724) 667-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO/631980 | Medicaid | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-003275L | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Department of Public Welfare | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1548288509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 111",
"address_2": "TORRANCE STATE HOSPITAL",
"city": "TORRANCE",
"state": "PA",
"postal_code": "157791111",
"telephone_number": "724-667-5200",
"fax_number": "724-675-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STATE ROUTE 1014",
"city": "TORRANCE",
"state": "PA",
"postal_code": "157791111",
"telephone_number": "724-675-2001",
"fax_number": "724-675-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONGIOVANNI",
"first_name": "VITO",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-003275L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DO/631980",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.