Individual provider Active NPI

Antone F Feo, PH.D.

  • Psychologist
  • Lakewood, OH
National Provider Identifier
1780684605
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4000 Issued in OH
Practice address
20 Edgewater SQ
Lakewood, OH 44107-1808
Phone
(440) 864-4798
NPI assigned
Jul 21, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4000 OH Primary

Addresses

Primary practice location

20 Edgewater SQ
Lakewood, OH 44107-1808

Mailing address

20 Edgewater SQ
Lakewood, OH 44107-1808
Phone (440) 864-4798

Other identifiers 1

IdentifierTypeStateIssuer
0698080MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000549 OH Practitioner - Clinical Psychologist 7810906187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Edgewater SQ
Lakewood, OH 44107-1803
Phone (440) 864-4798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4000OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Antone F Feo, PHD & Associates Inc Psychologist CurrentSince Jul 1, 1990 Accepting new patients
Antone Feo and Associates Past Accepting new patients

Locations

24500 Center Ridge Rd
Ste 100
Westlake, OH 44145
Phone (440) 899-1300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1780684605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EDGEWATER SQ",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071808",
            "telephone_number": "440-864-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EDGEWATER SQ",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071808",
            "telephone_number": "440-864-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEO",
        "first_name": "ANTONE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0698080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.