CHRISTINA FANTAUZZO (NPI# 1831203579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831203579 |
| Entity Type | Individual |
| Full Name | CHRISTINA FANTAUZZO |
| Credential | PH.D. |
| Practice Address |
1111 Street Rd Suite 312 Southampton PA 18966-4250 |
| Practice Telephone | 2153552011 |
| Practice Fax Number | 2153961886 |
| Mailing Telephone | 2153552011 |
| Mailing Fax Number | 2153961886 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS008893L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HIGHMARK BLUE SHIELD | 0920921 | 01 |
| Street Address |
1111 STREET RD SUITE 312 |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013926583 | Southampton Psychiatric Associates PC | Psychologist | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2006-08-05 |
| 1417314758 | Deborah Meyrowitz Weiss LLC | Psychologist | 1111 Street Rd, Suite 101, Southampton, PA 18966-4250 | 2016-01-18 |
| 1447402169 | Rebecca Jayne Tarbert | Physical Therapist | 1111 Street Rd, Suite104, Southampton, PA 18966-4250 | 2008-10-13 |
| 1902089683 | Suzanne Marie Devine | Counselor | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2007-12-17 |
| 1386842359 | Northeast Neuropsychology LLC | Psychologist | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2007-07-11 |
| 1134258049 | Paige M Novick-kline | Psychologist | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2007-03-05 |
| 1073665543 | Nicole Donnelly | Physical Therapist | 1111 Street Rd, Southampton, PA 18966-4250 | 2007-01-17 |
| 1063563831 | Michele Mancinelli | Physical Therapist | 1111 Street Rd, Suite 104, Southampton, PA 18966-4250 | 2007-01-16 |
| 1497866164 | Razvan S Tornea | Psychiatry & Neurology | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2006-08-31 |
| 1669586236 | Kathleen Schramm | Psychiatry & Neurology | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336621762 | Tina Marie Gonzales | Psychologist | 928 Jaymor Road Suite B-150, Southampton, PA 19040 | 2018-09-01 |
| 1174780258 | Joseph G. Rosenfeld | Psychologist | 43 Springwood Dr, Southampton, PA 18966-3054 | 2008-05-17 |
| 1740318039 | Elene Jessica Costuck | Psychologist | 168 Hill St, Southampton, NY 11968-5310 | 2007-03-01 |
| 1841339397 | Kathleen M. Dillon | Psychologist | 139 Fomer Rd, Southampton, MA 01073-9516 | 2007-02-05 |
| 1013926583 | Southampton Psychiatric Associates PC | Psychologist | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2006-08-05 |
| 1811924038 | Fred Larry Dorfman | Psychologist | 707 Lakeside Park, Southampton, PA 18966-4020 | 2006-06-26 |
| 1275531634 | Steven R. Cohen | Psychologist | 967 Street Rd, Southampton, PA 18966-4728 | 2005-07-11 |
| 1285157172 | Jennifer Rebekah Nowak | Psychologist | 928 Jaymor Rd Ste B-150, Southampton, PA 18966-3853 | 2017-07-21 |
| 1104287564 | Lifespan Counseling Center LLC | Psychologist | 729 Grove Ave, Suite 3, Southampton, PA 18966-6008 | 2016-03-14 |
| 1417314758 | Deborah Meyrowitz Weiss LLC | Psychologist | 1111 Street Rd, Suite 101, Southampton, PA 18966-4250 | 2016-01-18 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
Please comment or provide details below to improve the information on CHRISTINA FANTAUZZO.
| 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.