Active NPIIndividual providerSole proprietor

Dr. Anthony J Siracusa, PHD

Psychologist in Lanesborough, Massachusetts

NPI Number1851382808
Practice location
167 Bailey RD, Lanesborough, MA 01237-9669
Fax
—
Last updated
January 5, 2021

Anthony J Siracusa is a Psychologist based in Lanesborough, MA. Anthony J Siracusa practices in Lanesborough, MA and has the professional credentials of PHD. The NPI Number for Anthony J Siracusa is 1851382808 and holds a License No. 3480 (MA). The current practice location address for Anthony J Siracusa is 167 Bailey RD, Lanesborough, MA 01237-9669 and can be reached out via phone at 413-458-9601.

Provider Profile Details

NPI Number
1851382808
Provider Name
Anthony J Siracusa
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
167 Bailey RD, Lanesborough, MA 01237-9669
Phone Number
413-458-9601
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Other Names
Dr. Anthony J Siracusa, PHD (Professional Name)
Provider Enumeration Date
October 31, 2005
Last Update Date
January 5, 2021
Certification Date
January 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
167 Bailey RD
Lanesborough, MA 01237-9669
Zip
01237-9669
Phone Number
413-458-9601
Lanesborough, MA 01237Get directions →

Provider Business Mailing Address Details

Address
167 Bailey RD
Lanesborough, MA 01237-9669
City
Lanesborough
State
MA
Zip
01237-9669
Phone Number
413-458-9601

License Information

License Number
3480
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Anthony J Siracusa, PHD?

The NPI number of Dr. Anthony J Siracusa, PHD is 1851382808. It was assigned on October 31, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Anthony J Siracusa, PHD?

Dr. Anthony J Siracusa, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 3480.

Where does Dr. Anthony J Siracusa, PHD practice?

The practice location is 167 Bailey RD, Lanesborough, MA 01237-9669. The office can be reached at 413-458-9601 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851382808 directly on the NPPES registry website.

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