Individual provider Active NPI

Angela Adger, PHD

  • Clinical Psychologist
  • Albany, NY
National Provider Identifier
1174859151
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018328 Issued in NY
Practice address
1 Clara Barton Dr
Albany, NY 12208-3401
Phone
(518) 262-5401
NPI assigned
Oct 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 018328 NY Primary

Addresses

Primary practice location

1 Clara Barton Dr
Albany, NY 12208-3401

Mailing address

1 Clara Barton Dr
Albany, NY 12208-3401
Phone (518) 262-5401

Other names 1

  • Angela Adger-Antonikowski Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150422000936 NY Practitioner - Clinical Psychologist 8921281395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

391 Myrtle Ave
Albany, NY 12208-3835
Phone (518) 262-5640

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018328NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Nov 10, 2014 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College CurrentSince Aug 27, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Nov 10, 2014 Accepting new patients

Locations

1 Clara Barton Dr
Albany, NY 12208
Phone (518) 262-5588

391 Myrtle Ave
Albany, NY 12208
Phone (518) 262-5588

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

Organizations & group practices 6

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": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1174859151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLARA BARTON DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083401",
            "telephone_number": "518-262-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLARA BARTON DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083401",
            "telephone_number": "518-262-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADGER",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ADGER-ANTONIKOWSKI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.