Christine Anselmo, PSY.D.

Individual provider Active NPI Psychologist · Hampton Bays, NY

NPI 1649098922 · NPPES record last updated Sep 26, 2024

Key facts

NPI
1649098922
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
018008 (NY)
Practice address
13 School St
Hampton Bays, NY 11946-2614
Phone
(516) 729-5564
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
018008NYMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 018008 NY Yes

Addresses

Primary practice location

13 School St
Hampton Bays, NY 11946-2614

Mailing address

13 School St
Hampton Bays, NY 11946-2614
Phone (516) 729-5564

Other providers in Hampton Bays, NY

All providers in Hampton Bays, NY · Psychologist in New York

Sources for this page

Verify at the official NPI Registry.