Active NPI
Anthony Robert Carlino, MD
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1700011889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD443159
- Practice address
- 2400 Chestnut St.
#1503
Philadelphia, PA 19103-4319 - Phone
- (267) 574-0044
- NPI assigned
- May 19, 2009
- Last updated
- Apr 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD443159 | PA | Primary |
Addresses
Primary practice location
2400 Chestnut St.
#1503
Philadelphia, PA 19103-4319
Mailing address
2400 Chestnut St.
#1503
Philadelphia, PA 19103-4319
Phone (267) 574-0044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 24, 2023 through Feb 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD443159 | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1700011889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 CHESTNUT ST.",
"address_2": "#1503",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034319",
"telephone_number": "267-574-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 CHESTNUT ST.",
"address_2": "#1503",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034319",
"telephone_number": "267-574-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLINO",
"first_name": "ANTHONY",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-19",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD443159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.