Sue E Antell, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY7099 Issued in FL

Practice address

551 NW 77TH St
Suite 100
Boca Raton, FL 33487-1330

Phone

(561) 893-8199

Fax

(561) 893-6334

NPI assigned

Sep 22, 2006

Last updated

Oct 13, 2008By the provider in NPPES

Sex

Female

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1942309042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22659 ESPLANADA CIR W",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335918",
            "telephone_number": "561-893-8199",
            "fax_number": "561-893-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 NW 77TH ST",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871330",
            "telephone_number": "561-893-8199",
            "fax_number": "561-893-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTELL",
        "first_name": "SUE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ketly Angoma
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• Ann McNeil Psychotherapy, Inc.
• Annerose Occupational Therapy Services LLC (AnneRose Therapy & Health Services LLC)
• Anthony N Dardano D O P a
• Anthony N Dardano MD PC
• Anthony Riso MD PA
• Anthony Salvadore MD PA
• Kayla Rayann Anthony

• Clinical Neuropsychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.