Anthony Annunziata, PHD, LLC
Organization Active NPI Clinical Psychologist · Reading, MA
NPI 1699239152 · NPPES record last updated Sep 5, 2023
Key facts
- NPI
- 1699239152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- ANTHONY ANNUNZIATA, PHD, LLC
- Practice address
- 36 Woburn Street
Ste LL#2
Reading, MA 01867-2973 - Phone
- (781) 954-5239
- NPI assigned
- Jan 29, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony Annunziata, PHD
- Title
- Clinical Psychologist
- Phone
- (781) 954-5239
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190403002664 | MA | Part B Supplier - Clinic/Group Practice | 0345581120 |
Receives reassigned benefits from 1 practitioner Practice locations: Reading, MA |
National Provider Directory
Locations
36 Woburn St
Ste 2
Reading, MA 01867
Phone (781) 942-9277
36 Woburn St
Lowr
Reading, MA 01867
36 Woburn St
Ste LL2
Reading, MA 01867
Phone (781) 954-5239
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
36 Woburn Street
Ste LL#2
Reading, MA 01867-2973
Mailing address
36 Woburn St Lowr Level
Reading, MA 01867-2973
Phone (781) 954-5239
Other names
- Anthony Annunziata
Other providers in Reading, MA
- Alive & Well Health Inc
- Alla Shikhanovich DMD, PC
- Fahimeh Allahdadi
- Samantha Amicangelo
- Claudine C Anastasi
- Apex Hearing Care, LLC
- Arm Kesh Inc
- Associates in Family Dentistry
- Atlantic Counsel & Coach PLLC
- Carolyn M Austin
All providers in Reading, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.