DR. CHRISTOPHER PAUL ANTIPAS (NPI# 1326084617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326084617 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER PAUL ANTIPAS |
| Credential | PH.D. |
| Practice Address |
1350 Route 112 Port Jefferson Station NY 11776-3078 |
| Mailing Address |
1 Lilac Dr Stony Brook NY 11790-1416 |
| Practice Telephone | 6317459005 |
| Mailing Telephone | 6316892560 |
| Mailing Fax Number | 6312466299 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
010539-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01651165 | 05 |
| Street Address |
1350 ROUTE 112 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497265847 | Phyt, Inc. | Physical Therapist | 1350 Route 112, Port Jefferson Station, NY 11776-3078 | 2017-10-11 |
| 1235301185 | Haven Medical Services, Plc | Internal Medicine | 1350 Route 112, Port Jefferson Station, NY 11776-3078 | 2008-04-01 |
| 1841416377 | Corazon M. Go | Internal Medicine | 1350 Route 112, Port Jefferson Station, NY 11776-3078 | 2007-04-17 |
| 1609998681 | Woodhaven Adult Home, LLC | Assisted Living Facility | 1350 Route 112, Port Jefferson Station, NY 11776-3078 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326208570 | Sarah Corliss Wheeler Long | Psychologist | 5225 Route 347 Ste 46, Port Jefferson Station, NY 11776-2060 | 2008-06-11 |
| 1013129519 | Philip Melnekoff | Psychologist | 108 Terryville Road, Port Jefferson Station, NY 11776-0248 | 2007-05-04 |
| 1225148323 | Daryl P Didio | Psychologist | 5225 46 Route 347, Port Jefferson Station, NY 11776 | 2006-08-30 |
| 1619483989 | Patrick Joseph Mccauley IIi | Psychologist | 5225 Nesconset Hwy Ste 46, Port Jefferson Station, NY 11776-2060 | 2017-12-21 |
| 1346770062 | Jennifer Erin Donnelly-greenberg | Psychologist | 55 Nesconset Hwy, Port Jefferson Station, NY 11776-2631 | 2017-06-14 |
| 1770853236 | Philip Melnekoff, Ph.d.,pc | Psychologist | 108 Terryville Road, Port Jefferson Station, NY 11776-0248 | 2011-12-30 |
| 1144559667 | William J Di Scipio | Psychologist | 1500 Route 112 Bldg 4, Suite101, Port Jefferson Station, NY 11776 | 2009-12-11 |
| 1316168917 | Jenny A Hwang | Psychologist | 1050 Hallock Ave, Suite 1, Port Jefferson Station, NY 11776-1214 | 2007-05-01 |
| 1699852079 | Peter Wigg | Psychologist | 5 Medical Dr, Port Jefferson Station, NY 11776-1601 | 2006-11-01 |
| 1528149259 | Christine Svetina | Psychologist | 1050 Hallock Ave, Port Jefferson Station, NY 11776-1214 | 2006-10-18 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on DR. CHRISTOPHER PAUL ANTIPAS.
| 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.