Darlene Barrett Antonio, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 4189 Issued in FL

Practice address

2700 Westhall LN
Suite 110
Maitland, FL 32751-7203

Phone

(407) 475-1025

Fax

(407) 475-1027

NPI assigned

Apr 12, 2006

Last updated

Aug 7, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Darlene B Antonio PHD LLC

  • Clinical Psychologist
  • Maitland, FL
  • NPI 1326101528
  Medicare reassignment NPD Authorized official
• Psychological Affiliates Inc

  • Clinical Psychologist
  • Winter Park, FL
  • NPI 1699815753
  NPD (past)
• Psychological Affiliates, Inc.

  • Clinical Child & Adolescent Psychologist
  • Winter Park, FL
  • NPI 1649324005
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1801850433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTHALL LN",
            "address_2": "SUITE 110",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517203",
            "telephone_number": "407-475-1025",
            "fax_number": "407-475-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTHALL LN",
            "address_2": "SUITE 110",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517203",
            "telephone_number": "407-475-1025",
            "fax_number": "407-475-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIO",
        "first_name": "DARLENE",
        "middle_name": "BARRETT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 4189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "73763X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Bercik PHD PA
• Andrea Marie Annis, C.O.T.A.
• Ansley Court LLC
• Ansley Cove Healthcare and Rehabilitation LLC
• Anthea Home Care Services, LLC
• Patrice S Antony, PT, GCS
• Apex Wound & Health LLC
• Sandra Nicole Aponte-Morales
• Ashley Aponte-Nieves
• Steven L. Appelblatt, MD

• Clinical Psychologist in Maitland, FL
• Providers in Maitland, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.