Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Anthony Fontana, PHD

Individual provider Psychologist · NPI 1639116783

Dr. Charles Anthony Fontana, PHD is a Clinical Psychologist in Elmira, New York. Qualified in 1987, 39 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
39
Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

200 Madison Ave
Elmira, NY 14901-3218
Phone: (607) 733-5161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 11172-2 (NY)

Record details

NPI number1639116783
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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