Philip S. Cardamone, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001393 Issued in CT

Practice address

152 Deming St
Providercare Plus
South Windsor, CT 06074-3740

Phone

(860) 644-4472

Fax

(860) 644-3001

NPI assigned

Dec 29, 2005

Last updated

Oct 30, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Providercare Plus PC

  • Psychologist
  • South Windsor, CT
  • NPI 1396724811
  Authorized official Same address or phone

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1891772844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 DEMING ST",
            "address_2": "PROVIDERCARE PLUS",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743740",
            "telephone_number": "860-644-4472",
            "fax_number": "860-644-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 DEMING ST",
            "address_2": "PROVIDERCARE PLUS",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743740",
            "telephone_number": "860-644-4472",
            "fax_number": "860-644-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDAMONE",
        "first_name": "PHILIP",
        "middle_name": "S.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004080511",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Calabrese, M.D.
• Sarah M Caliandri, NP
• Marcy Calsetta
• Rose Margaret Calvert
• Jacqueline Elizabeth Calvo, M.D.
• Gloria Carlson, LCSW
• Faraneh Carnegie-Hargreaves, D.C.
• Nadine Caron, APRN
• Nancy J Carter, LMFT
• Judith Ann Caruso, RN, CRNI

• Psychologist in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.