Angela Steranko, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8966 Issued in FL

Practice address

1505 Tamiami TRL S Ste 402
Venice, FL 34285-5563

Phone

(941) 275-9183

NPI assigned

Mar 28, 2014

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Angela Thacker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fundamental Psychology

  • Psychologist
  • Venice, FL
  • NPI 1699238055
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023436987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 TAMIAMI TRL S STE 402",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855563",
            "telephone_number": "941-275-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 TAMIAMI TRL S STE 402",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855563",
            "telephone_number": "941-275-9183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342369116",
            "country_code": "US",
            "telephone_number": "941-363-0878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERANKO",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "THACKER",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raymond Lachlan Steele, DO
• Lauren Steinberg, PT
• Christina Duckworth Stelton, M.D.
• P Dee G Stephenson, M.D., P.A.
• Stepping Stones Charity
• Sterling Chiropractic LLC
• Sterling Medical Devices LLC
• Erin Stesprit, APRN, FNP-C
• Nancy J Stetter-Coblentz, LCSW
• Anthony Gerald Steusloff

• Clinical Psychologist in Venice, FL
• Providers in Venice, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.