JOHN ANTONUCCI – NPI #1508967951
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

JOHN ANTONUCCI is a psychiatry & neurologist located in NEWINGTON, CT. NPPES has assigned the NPI number 1508967951 to JOHN ANTONUCCI on September 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN ANTONUCCI below.

NPI Profile for
JOHN ANTONUCCI

NPI Number
1508967951
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN ANTONUCCI
Primary location
555 WILLARD AVE
NEWINGTON, CT 06111-2631
Phone: (860) 677-6747 Fax:
Mailing address
11 WOODCHUCK HILL RD
CANTON, CT 06019-2132
Phone: Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)
CT 09502

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.