Individual provider Active NPI

Andrew (Drew) Cangelosi, PH.D.

  • Psychologist
  • Westfield, NJ
National Provider Identifier
1073531471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3118 Issued in NJ
Practice address
261 Orchard St
Westfield, NJ 07090-3133
Phone
(908) 654-6500
Fax
(908) 654-6645
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3118 NJ Primary

Addresses

Primary practice location

261 Orchard St
Westfield, NJ 07090-3133

Mailing address

261 Orchard St
Westfield, NJ 07090-3133
Phone (908) 654-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000046 NJ Practitioner - Clinical Psychologist 8921990144 Practice locations: Westfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

261 Orchard St
Westfield, NJ 07090-3133
Phone (908) 654-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3118NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Westfield Center for Counseling Psychologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073531471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 ORCHARD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903133",
            "telephone_number": "908-654-6500",
            "fax_number": "908-654-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 ORCHARD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903133",
            "telephone_number": "908-654-6500",
            "fax_number": "908-654-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGELOSI",
        "first_name": "ANDREW (DREW)",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.