Active NPI
Amy Angelucci, ED.S.
- School Psychologist
- Madison, AL
National Provider Identifier
1083497176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- ACA-0118-2782
- Practice address
- 120 Redwood Dr
Madison, AL 35758-7611 - Phone
- (859) 608-3713
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | ACA-0118-2782 | AL | Primary |
Addresses
Primary practice location
120 Redwood Dr
Madison, AL 35758-7611
Mailing address
120 Redwood Dr
Madison, AL 35758-7611
Phone (859) 608-3713
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACA-0118-2782 | AL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1083497176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 REDWOOD DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357587611",
"telephone_number": "859-608-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 REDWOOD DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357587611",
"telephone_number": "859-608-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELUCCI",
"first_name": "AMY",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AL",
"license": "ACA-0118-2782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.