Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CHARLES ANTHONY FONTANA PH.D.
NPI 1639116783
Psychologist in Elmira, NY

Active since May 31, 2006PECOS Enrolled
200 MADISON AVE, ELMIRA, NY 14901(607) 733-5161 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles Anthony Fontana Ph.d. NPPES

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

DR. CHARLES ANTHONY FONTANA PH.D. (NPI 1639116783) is an individual psychologist in Elmira, New York, licensed in New York (11172-2) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1639116783
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHARLES ANTHONY FONTANACredential: PH.D.
Location Address200 MADISON AVEElmira, NY 14901-3218
Mailing Address8 Cobbles St EElmira, NY 14905-2033 · (607) 733-5161
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1639116783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 11172-2
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
200 MADISON AVE, Elmira, NY 14901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Anthony Fontana Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991841116
PECOS Enrollment IDI20100511000088
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
135 services15 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
200 MADISON AVE, 2B
ELMIRA, NY 14901
Internal Medicine (Rheumatology)
200 MADISON AVE, 3RD FLOOR
ELMIRA, NY 14901
Nurse Practitioner
200 MADISON AVE, SUITE 2D
ELMIRA, NY 14901
Nurse Practitioner
200 MADISON AVE, 3RD FLOOR
ELMIRA, NY 14901
Student in an Organized Health Care Education/Training Program
200 MADISON AVE
ELMIRA, NY 14901
Family Medicine
200 MADISON AVE, SUITE 2B
ELMIRA, NY 14901
Pediatrics
200 MADISON AVE, SUITE 2B
ELMIRA, NY 14901
Clinic/Center (Multi-Specialty)
200 MADISON AVE, SUITE 2C
ELMIRA, NY 14901

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 Charles Fontana's NPI number?

The NPI number for Charles Fontana is 1639116783. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Charles Fontana located?

Charles Fontana practices at 200 Madison Ave, Elmira, NY 14901. The listed phone number is (607) 733-5161.

What is Charles Fontana's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Charles Fontana enrolled in Medicare?

Yes. Charles Fontana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Fontana accept?

Health plans from Providence Health Plan list Charles Fontana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Fontana was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.