Pamela Fantini PHD LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY 4599 Issued in MA

Legal business name

PAMELA FANTINI PHD LLC

Practice address

7 Mill Pond
Marblehead, MA 01945-2686

Phone

(781) 367-5374

Fax

(978) 745-5455

NPI assigned

Feb 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Fantini, PH.D.NPI 1235287400

Title

Psychologist

Phone

(781) 367-5374

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Fantini, PH.D.

  • Clinical Psychologist
  • Salem, MA
  • NPI 1235287400
  Medicare reassignment NPD Authorized official
• Christian Fantini, D.C.

  • Chiropractor
  • Salem, MA
  • NPI 1811053945
  NPD (past)
• Stephen Mark Legate, D.C.

  • Chiropractor
  • Albuquerque, NM
  • NPI 1942532585
  NPD (past)

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1770822173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MILL POND",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452686",
            "telephone_number": "781-367-5374",
            "fax_number": "978-745-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MILL POND",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452686",
            "telephone_number": "781-367-5374",
            "fax_number": "978-745-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA FANTINI PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "FANTINI",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "781-367-5374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "PSY 4599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Orendorff, M.D.
• Candy M Ortiz, R.N.
• Marida Osborne
• Marie C Ouellette, MSW LICSW
• Outpatient Center of Adam Ciccio, LMHC, P.C.
• Paradise Health Services LLC
• Shohana Afroz Paradise, CNP
• Susanne Pariente, MSW,LICSW
• Christina Dibona Pastan, D.M.D.
• Natalya N Pastuhova

• Community/Behavioral Health Agency in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.