David Antonuccio, P.H.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY104 Issued in NV

Practice address

401 W 2ND St Ste 216
Reno, NV 89503-5353

Phone

(775) 784-6388

Fax

(775) 784-1428

NPI assigned

Aug 19, 2006

Last updated

Dec 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Behavioral Medicine Associates Inc

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1689843179
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1730293457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W 2ND ST STE 235F",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035353",
            "telephone_number": "775-784-1223",
            "fax_number": "775-327-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W 2ND ST STE 216",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035353",
            "telephone_number": "775-784-6388",
            "fax_number": "775-784-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONUCCIO",
        "first_name": "DAVID",
        "name_prefix": "Prof.",
        "credential": "P.H.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoine & Hansen Periodontics, PLLC (Peak Periodontics & Implants)
• Antoine Periodontics, PC (Peak Periodontics & Implants)
• Nathan Antoine, D.M.D.
• Constance V Antone-Knoll, M.D.
• Trina Leanne Antonelli, CRNA
• Daniel Antwi-Amoabeng, MD
• Collins Chidiebere Anukam
• Doris R Anukam, APRN
• Anusha Anwer
• Seini Tukuvaka Lelei Aonga

• Psychologist in Reno, NV
• Providers in Reno, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.