Anthony Annunziata, PHD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ANTHONY ANNUNZIATA, PHD, LLC

Doing business as

Anthony Annunziata

Practice address

36 Woburn Street
Ste LL#2
Reading, MA 01867-2973

Phone

(781) 954-5239

NPI assigned

Jan 29, 2019

Last updated

Sep 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Annunziata, PHDNPI 1134520547

Title

Clinical Psychologist

Phone

(781) 954-5239

Specialties & licenses 1

Addresses

Other names 1

• Anthony Annunziata Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Annunziata

  • Clinical Psychologist
  • Boston, MA
  • NPI 1134520547
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1699239152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WOBURN ST LOWR LEVEL",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672973",
            "telephone_number": "781-954-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WOBURN STREET",
            "address_2": "STE LL#2",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672973",
            "telephone_number": "781-954-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY ANNUNZIATA, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "ANNUNZIATA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "781-954-5239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anthony Annunziata",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anthony Annunziata",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Reading, MA
• Providers in Reading, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.