Patrick T Antonelli, ED.D.
Individual provider Active NPI Marriage & Family Therapist · Livingston, NJ
NPI 1952407355 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1952407355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 37FI00095500 (NJ)
- Practice address
- 22 Old Short Hills Rd
Suite 216
Livingston, NJ 07039-5604 - Phone
- (973) 994-3145
- Fax
- (973) 994-9152
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37FI00095500 | NJ | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37FI00095500 | NJ | Yes |
Addresses
Primary practice location
22 Old Short Hills Rd
Suite 216
Livingston, NJ 07039-5604
Mailing address
22 Old Short Hills Rd
Suite 216
Livingston, NJ 07039-5604
Phone (973) 994-3145
Other providers in Livingston, NJ
- Sana Ansari
- Anthem Pain LLC
- Anthony C. Quartell, MD & Associates
- John Anton
- John Antonczak
- Emmanuel O Anyanwu
- Franca Apirian
- Lessette Aponte
- Jeri Appel
- Sonia Aram
All providers in Livingston, NJ · Marriage & Family Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.