Susan Anzivino, PHD

NPI: 1790774479

Susan Anzivino, PHD

Q: What is Susan Anzivino's NPI number?

Susan Anzivino's NPI number is 1790774479, a unique 10-digit identifier issued by CMS.

Q: What does Susan Anzivino specialize in?

Susan Anzivino specializes in Specialty not listed, taxonomy code 101Y00000X.

Q: Where does Susan Anzivino practice?

Susan Anzivino practices in Farmington, ME 04938-6142.

Q: When was Susan Anzivino's NPI issued?

Susan Anzivino's NPI was issued on October 17, 2005.

Q: What is Susan Anzivino's provider type?

Susan Anzivino is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: October 17, 2005

Quick Facts

NPI Number

1790774479

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy101Y00000X — Specialty not listed

Phone

(207) 778-0035

StateME

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1790774479)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 17, 2005)

Data source: CMS NPPES

Provider Overview

SUSAN ANZIVINO, PHD is a Healthcare provider based in Farmington, ME who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790774479

Provider TypeIndividual Provider

GenderFemale

CredentialPHD

StatusActive

Enumeration DateOctober 17, 2005

Practice Location

CityFarmington

StateME

ZIP Code04938-6142

Phone(207) 778-0035

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code101Y00000X

License StateME

Mailing Address

CityFarmington

StateME

ZIP Code04938-6142

Phone(207) 778-0035

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1790774479 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790774479for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790774479 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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