Individual provider Active NPI

Anthony Frank Campagna, PHD

  • Clinical Psychologist
  • Hamden, CT
National Provider Identifier
1649387184
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000614 Issued in CT
Practice address
1844 Whitney Ave
Hamden, CT 06517-1407
Phone
(203) 288-3584
Fax
(203) 407-1309
NPI assigned
Aug 23, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 000614 CT Primary

Addresses

Primary practice location

1844 Whitney Ave
Hamden, CT 06517-1407

Mailing address

1844 Whitney Ave
Hamden, CT 06517-1407
Phone (203) 288-3584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20120118000346 CT Practitioner - Clinical Psychologist 4385811215 Reassigns benefits to 1 organization
Practice locations: Hamden, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1844 Whitney Ave
Hamden, CT 06517-1400
Phone (203) 407-1310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000614CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New Haven Counseling and Family Therapy Center, LLP Clinical CurrentSince Jul 15, 2018 Accepting new patients

Locations

1844 Whitney Ave
Hamden, CT 06517
Phone (203) 407-1310

1844 Whitney Ave
Ste 2
Hamden, CT 06517
Phone (203) 407-1310

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649387184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171407",
            "telephone_number": "203-288-3584",
            "fax_number": "203-407-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171407",
            "telephone_number": "203-288-3584",
            "fax_number": "203-407-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAGNA",
        "first_name": "ANTHONY",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "000614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.