Thomas Charles Antonek, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6278 Issued in FL

Practice address

1056 Lakeside Dr
Brooksville, FL 34601-1532

Phone

(352) 616-1414

Fax

(954) 944-0308

NPI assigned

Jun 17, 2006

Last updated

Nov 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Eldercare Counseling Services Inc

  • Clinical Psychologist
  • Spring Hill, FL
  • NPI 1073444550
  NPD

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1629013610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 MARINER BLVD STE 121",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092468",
            "telephone_number": "352-616-1414",
            "fax_number": "954-944-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 LAKESIDE DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346011532",
            "telephone_number": "352-616-1414",
            "fax_number": "954-944-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONEK",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Ansiel
• Alexander Anthony Answine, MD
• Omar Antabli, MBBS
• Charles R Anthony, M.D.
• Kelly J Anthony
• Aoreal LLC
• Dawn M. Aponte, H.A.S.
• Frederick Argoncillo, OTR/L, CLT
• Cristina Armbruster Jacas, DMD, MPH
• Andrew Olsen Arnold, MD

• Psychologist in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.

Verify at the official NPI Registry.