MR. ANTONINO AGOSTA JR. (NPI# 1396913497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396913497 |
| Entity Type | Individual |
| Full Name | MR. ANTONINO AGOSTA JR. |
| Credential | PSY. D. |
| Practice Address |
1135 W University Dr Suite 315a Rochester MI 48307-1871 |
| Practice Telephone | 2484135027 |
| Practice Fax Number | 2484125048 |
| Mailing Telephone | 2484135027 |
| Mailing Fax Number | 2484125048 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2015-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301015487 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1135 W UNIVERSITY DR SUITE 315A |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186479 | Oncology & Hematology of Oakland PC | Internal Medicine | 1135 W University Dr, Ste 220, Rochester, MI 48307-1871 | 2005-07-07 |
| 1851811459 | Natalie Mariani | Pharmacist | 1135 W University Dr, Rochester, MI 48307-1871 | 2017-06-23 |
| 1386012920 | Molly Bridget Maki | Nurse Practitioner | 1135 W University Dr, Suite 425, Rochester, MI 48307-1871 | 2015-09-14 |
| 1902212699 | Amy Denyes-green | Nurse Practitioner | 1135 W University Dr, Suite 450, Rochester, MI 48307-1871 | 2014-07-02 |
| 1942642640 | Amanda C Hessenauer | Audiologist | 1135 W University Dr, Ste 440, Rochester, MI 48307-1897 | 2013-07-23 |
| 1235429721 | Salieha Zaheer | Family Medicine | 1135 W University Dr, Ste 250, Rochester, MI 48307-1886 | 2011-04-18 |
| 1790081487 | Melissa Marie Niemiec | Nurse Practitioner | 1135 W University Dr, Suite 425, Rochester, MI 48307-1871 | 2011-01-28 |
| 1336443837 | Mazen S Afram M.d.p.c. | Internal Medicine | 1135 W University Dr, Ste 300, Rochester, MI 48307-1871 | 2010-12-27 |
| 1417258963 | Stacey Michelle Goodman | Nurse Practitioner | 1135 W University Dr, Suite 425, Rochester, MI 48307-1871 | 2010-11-15 |
| 1538489919 | Lori Marie Zywiol | Physical Therapist | 1135 W University Dr, Suite 425, Rochester, MI 48307-1871 | 2010-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883873 | Denise Pine | Psychologist | 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 | 2019-10-28 |
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1275017550 | Leah Rothschild | Psychologist | 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 | 2018-09-21 |
| 1639658693 | Garry Linsis Spink Jr. | Psychologist | 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 | 2018-08-10 |
| 1942798129 | Rachel Marie Rodorigo | Psychologist | 900 W University Dr Ste B3, Rochester, MI 48307-1817 | 2018-04-24 |
| 1740799162 | Douglas Andrew Raynor | Psychologist | 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 | 2017-09-28 |
| 1356861884 | Lauren P Wadsworth | Psychologist | 21 Goodway Dr, Rochester, NY 14623-3029 | 2017-06-26 |
| 1881120947 | Dayton Walsh | Psychologist | 190 Goodman St S, Rochester, NY 14607-2651 | 2017-05-11 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1275068470 | Tara Marie Augenstein | Psychologist | University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 | 2017-04-25 |
| Find all providers in ROCHESTER | ||||
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| 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.