Provider Demographics
NPI:1275891236
Name:CAPONE, DON-ANTHONY L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DON-ANTHONY
Middle Name:L
Last Name:CAPONE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UC BERKELEY 2222 BANCROFT WAY TANG CTR
Mailing Address - Street 2:UNIVERSITY HEALTH SERVICE - CPS
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94720-4300
Mailing Address - Country:US
Mailing Address - Phone:510-642-9494
Mailing Address - Fax:
Practice Address - Street 1:UC BERKELEY 2222 BANCROFT WAY TANG CTR
Practice Address - Street 2:UNIVERSITY HEALTH SERVICE - CPS
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-4300
Practice Address - Country:US
Practice Address - Phone:510-642-9494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19845103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling