Laurence Antosz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1651 Issued in CT

Practice address

363 Main St
Suite 405
Middletown, CT 06457-3359

Phone

(860) 428-9842

Fax

(860) 742-9634

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1740335306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 TWIN HILLS DR",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381075",
            "telephone_number": "860-742-9634",
            "fax_number": "860-742-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MAIN ST",
            "address_2": "SUITE 405",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573359",
            "telephone_number": "860-428-9842",
            "fax_number": "860-742-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOSZ",
        "first_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan S Andrews, DPT
• Melissa Purisima Andrews
• Anesthesiologists of Middletown, P.C.
• Aneeka Angus, LCSW
• Alicia Hallinan Anop
• Jessica Anziano
• Kelly S Anziano, LADC
• Apollonia Dental LLC
• Appleseed Pediatric and Adolescent Medicine
• Jonathan S Aranow, MD

• Clinical Psychologist in Middletown, CT
• Providers in Middletown, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.