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ANTHONY R COLLICA NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1003547076
Psychiatry & Neurology - Psychiatry in Goshen, NY

Active since June 21, 2022
45 ST JOHN ST, GOSHEN, NY 10924(845) 645-2625 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anthony R Collica Nurse Practitioner In Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY R COLLICA NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1003547076) is a healthcare organization registered as a psychiatry in Goshen, New York and active in the NPI registry since June 2022. The organization lists Anthony Richard Collica, Nurse Practitioner In Psychiatry, as its authorized official.

NPPES Registry Identity

NPI1003547076
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameANTHONY R COLLICA NURSE PRACTITIONER IN PSYCHIATRY PLLC
Location Address45 ST JOHN STGoshen, NY 10924-1518
Mailing Address105 Cherokee CirHawley, PA 18428-6013 · (845) 283-7092
Phone(845) 645-2625
Organization SubpartNo
Authorized OfficialAnthony Richard CollicaNurse Practitioner In Psychiatry · (845) 645-2625
Enumeration DateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1003547076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
45 ST JOHN ST, Goshen, NY 10924
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony R Collica Nurse Practitioner In Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Anthony R Collica Nurse Practitioner In Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anthony Collica, PMHNP
Nurse Practitioner
NPI 1558938548
146 PIKE ST
Port Jervis, NY 12771
(845) 858-1456
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony R Collica Nurse Practitioner In Psychiatry PLLC's NPI number?

The NPI number for Anthony R Collica Nurse Practitioner In Psychiatry PLLC is 1003547076. It was assigned to this organization in the NPPES registry on June 21, 2022.

Where is Anthony R Collica Nurse Practitioner In Psychiatry PLLC located?

Anthony R Collica Nurse Practitioner In Psychiatry PLLC is located at 45 St John St, Goshen, NY 10924. The listed phone number is (845) 645-2625.

What is Anthony R Collica Nurse Practitioner In Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Anthony R Collica Nurse Practitioner In Psychiatry PLLC enrolled in Medicare?

Yes. Anthony R Collica Nurse Practitioner In Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anthony R Collica Nurse Practitioner In Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Anthony R Collica Nurse Practitioner In Psychiatry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anthony R Collica Nurse Practitioner In Psychiatry PLLC was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.