Individual provider Active NPI

Angelia Mendak, B.A., M.ED., ED.S.

  • School Psychologist
  • Uniontown, OH
National Provider Identifier
1083086151
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
OH3197400 Issued in OH
Practice address
3916 Arlington Rd Unit 1120
Uniontown, OH 44685-6951
Phone
(440) 315-2463
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X OH3197400 OH Primary

Addresses

Primary practice location

3916 Arlington Rd Unit 1120
Uniontown, OH 44685-6951

Mailing address

3916 Arlington Rd Unit 1120
Uniontown, OH 44685-6951
Phone (440) 315-2463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
OH3197400OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1083086151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 ARLINGTON RD UNIT 1120",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856951",
            "telephone_number": "440-315-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 ARLINGTON RD UNIT 1120",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856951",
            "telephone_number": "440-315-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDAK",
        "first_name": "ANGELIA",
        "credential": "B.A., M.ED., ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH3197400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.