MEDICARE: ANTHONY A. ARITA PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist	0689	VT
2	103TC0700X	Clinical Psychologist	0689	VT

General Provider Information

NPI Number	:	1568524577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY A. ARITA PHD

Provider Business Mailing Address
First Line	:	1539 BRICE CIR
Second Line	:
City	:	EDGEWATER
State	:	MD
Zip	:	21037-4631
Country	:	US
Telephone Number	:	410-798-4453
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 WARRINGTON AVE SE
Second Line	:	BUILDING #183, WNY BRANCH NAVAL HEALTH CLINIC
City	:	WASHINGTON NAVY YARD
State	:	DC
Zip	:	20374-5022
Country	:	US
Telephone Number	:	202-433-9204
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	09/11/2025

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