DR. ANTHONY J ANZALONE (NPI# 1124346689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124346689 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY J ANZALONE |
| Credential | PSY.D. |
| Practice Address |
1919 Middle Country Rd Centereach NY 11720-5601 |
| Mailing Address |
1919 Middle Country Rd Suite 308 Centereach NY 11720-5601 |
| Practice Telephone | 6312095343 |
| Practice Fax Number | 6316487655 |
| Mailing Telephone | 6312095343 |
| Mailing Fax Number | 6316487655 |
| Enumeration Date | 2010-05-08 |
| Last Update Date | 2014-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
018271 | NY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
018271 | NY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
018271 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124071857 | Anthony Anzalone | Obstetrics & Gynecology | 1272 Clifton Ave, Clifton, NJ 07012-1344 | 2006-05-17 |
| 1063417640 | Anthony C Anzalone | Podiatrist | 2400 Maryland Rd, Ste 30, Willow Grove, PA 19090-1700 | 2005-06-20 |
| Street Address |
1919 MIDDLE COUNTRY RD |
| City | CENTEREACH |
| State | NY |
| Zip Code | 11720-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720075526 | Sean Barry Haggerty | Psychologist | 1919 Middle Country Rd, Suite 201, Centereach, NY 11720-5601 | 2005-10-05 |
| 1144520768 | Amanda Lea Grodewald-adler | Psychologist | 1919 Middle Country Rd, Suite 308, Centereach, NY 11720-5601 | 2010-10-29 |
| 1821296096 | Vision Screening | Exclusive Provider Organization | 1919 Middle Country Rd, Centereach, NY 11720-5601 | 2007-07-10 |
| 1538233952 | Cynthia B Kealey | Counselor | 1919 Middle Country Rd, Ste 202, Centereach, NY 11720 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409087 | Carolyn Barravecchio | Marriage & Family Therapist | 35 South Kennedy Drive, Centereach, NY 11720 | 2019-10-28 |
| 1588158406 | Robin Smith | Social Worker | 129 Dawn Drive, Centereach, NY 11720 | 2018-06-15 |
| 1154820553 | Amanda Grodewald-adler, Psy.d., Pllc | Clinic/Center | 1919 Middle Country Rd Ste 308, Centereach, NY 11720 | 2018-02-12 |
| 1760901144 | Gabrielle Tatiana Zutter | Behavior Technician | 23 Jay Road, Centerach, NY 11720 | 2017-09-16 |
| 1619401544 | Michelle Leblanc | Licensed Practical Nurse | 8 Catalina Ct, Centerreach, NY 11720 | 2017-04-18 |
| 1023557212 | Alexa Brooke Ruggiero | Student in an Organized Health Care Education/Training Program | 30 Strathmore Village Dr, South Setauket, NY 11720 | 2017-02-21 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1225446115 | Kristen Kunkel | Specialist/Technologist | 26 Lily Dr, South Setauket, NY 11720 | 2014-07-24 |
| 1497175897 | Jacqueline Maddox | Student in an Organized Health Care Education/Training Program | 11 43rd Street, Centereach, NY 11720 | 2014-04-24 |
| 1336492370 | Valentina Blaine | Optometrist | 1958 Middle Country Rd, Centereach, NY 11720 | 2012-10-15 |
| Find all providers in zip 11720 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861038903 | Manchandani Psychological Services, Pllc | Psychologist | 1919 Middle Country Rd Ste 308, Centereach, NY 11720-3501 | 2019-11-25 |
| 1144520768 | Amanda Lea Grodewald-adler | Psychologist | 1919 Middle Country Rd, Suite 308, Centereach, NY 11720-5601 | 2010-10-29 |
| 1174546725 | Michael Leonard Nissenbaum | Psychologist | 2100 Middle Country Rd, Suite 28w, Centereach, NY 11720-3577 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768916 | Shari Kohn | Psychologist | 20 Shadow Ln, Woodbury, NY 11797-2222 | 2020-10-18 |
| 1770180325 | Jonathan Rosen | Psychologist | 1760 2nd Ave Apt 18a, New York, NY 10128-5392 | 2020-10-07 |
| 1245837855 | Aunree J. Houston | Psychologist | 400 W 37th St Apt 10y, New York, NY 10018-5631 | 2020-10-06 |
| 1255944377 | Mindwell Center, LLP | Psychologist | 950 Danby Rd Ste 202f, Ithaca, NY 14850-5714 | 2020-08-28 |
| 1417575754 | Donato Vaccaro | Psychologist | 40 Deerfield Ave, Eastchester, NY 10709-3805 | 2020-07-13 |
| 1902432511 | Nancy Langdon | Psychologist | 410 Fort Salonga Rd, Northport, NY 11768-3046 | 2020-03-14 |
| 1386281376 | Grand Central Psychology Pllc | Psychologist | 50 E 42nd St Rm 1807, New York, NY 10017-5402 | 2019-12-09 |
| 1730722232 | Shimon N Littman | Psychologist | 495 W 187th St Apt 5e, New York, NY 10033-1521 | 2019-10-28 |
| 1821645367 | Rd Community Services LLC | Psychologist | 1049 38th St Ste B, Brooklyn, NY 11219-1012 | 2019-08-20 |
| 1881250041 | New Perspective Psychological Services | Psychologist | 1170a Ocean Ave, Brooklyn, NY 11230-1904 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
| City | CENTEREACH |
| Zip Code | 11720 |
Please comment or provide details below to improve the information on DR. ANTHONY J ANZALONE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.