Active NPI
Donald L. Angell, PH.D.
- Clinical Psychologist
- Quincy, MA
National Provider Identifier
1093868077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2003
- Practice address
- 111 Willard St
Quincy, MA 02169-1200 - Phone
- (617) 471-9990
- NPI assigned
- Jan 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2003 | MA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 2003 | MA | |
| Adult Development & Aging Psychologist | 103TA0700X | 2003 | MA | |
| Clinical Psychologist | 103TC0700X | 2003 | MA | Primary |
| Counseling Psychologist | 103TC1900X | 2003 | MA | |
| Family Psychologist | 103TF0000X | 2003 | MA | |
| Health Service Psychologist | 103TH0100X | 2003 | MA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 2003 | MA | |
| Rehabilitation Psychologist | 103TR0400X | 2003 | MA |
Addresses
Primary practice location
111 Willard St
Quincy, MA 02169-1200
Mailing address
111 Willard St
Quincy, MA 02169-1200
Phone (617) 471-9990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WO2184 | Other | MA | BLUE CROSS |
| 026023 | Other | MA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100422001061 | MA | Practitioner - Clinical Psychologist | 6709911209 | Practice locations: Duxbury, MA; Quincy, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
20 Tremont St
Suite 15
Duxbury, MA 02332-5315
Phone (781) 934-0953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003 | MA | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1093868077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WILLARD ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691200",
"telephone_number": "617-471-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WILLARD ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691200",
"telephone_number": "617-471-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELL",
"first_name": "DONALD",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "2003",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "2003",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "MA",
"license": "2003",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "2003",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "2003",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MA",
"license": "2003",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MA",
"license": "2003",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MA",
"license": "2003",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "MA",
"license": "2003",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "WO2184",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "026023",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.