Antonio Aquino, MA, PhD
Psychologist in Roxbury, MA. Individual provider (NPI-1).
NPI number1831979772
StatusActive
Last updated in NPPESSep 28, 2023
Details
- NPI
- 1831979772
- Entity type
- Individual (NPI-1)
- Name
- Antonio Aquino
- Credential
- MA, PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2023
- Certification date
- Sep 28, 2023
- Last updated
- Sep 28, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | FL | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP1600X | Counselor, Pastoral | – | CT |
Practice location
302 Eustis StRoxbury, MA 02119-3800
Phone 781-493-4196
Mailing address
302 Eustis StRoxbury, MA 02119-3800
Phone 781-493-4196
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychologist providers in Roxbury, MA
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