Active NPI
Anne Elizabeth Ciccone, PSY.D.
- Clinical Psychologist
- Northampton, MA
National Provider Identifier
1568785582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11294
- Practice address
- 9 Prospect HTS
Northampton, MA 01060-1612 - Phone
- (504) 357-9072
- NPI assigned
- Mar 4, 2010
- Last updated
- Jun 25, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1214 | LA | |
| Clinical Psychologist | 103TC0700X | 11294 | MA | Primary |
Addresses
Primary practice location
9 Prospect HTS
Northampton, MA 01060-1612
Mailing address
9 Prospect HTS
Northampton, MA 01060-1612
Phone (504) 357-9072
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1214 | LA | MD | Marriage & Family Therapist |
| 11294 | MA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656115200000",
"number": "1568785582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PROSPECT HTS",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010601612",
"telephone_number": "504-357-9072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 PROSPECT HTS",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010601612",
"telephone_number": "504-357-9072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICCONE",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2022-06-25",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "1214",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.