Angela Emerick Dugan, PSY.D. LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4997 Issued in MN

Practice address

1400 Madison Ave
Suite 628
Mankato, MN 56001-5473

Phone

(507) 779-7366

Fax

(507) 779-7367

NPI assigned

Feb 23, 2009

Last updated

Apr 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Nicole Emerick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1184864753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE",
            "address_2": "SUITE 628",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015473",
            "telephone_number": "507-779-7366",
            "fax_number": "507-779-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MADISON AVE",
            "address_2": "SUITE 628",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015473",
            "telephone_number": "507-779-7366",
            "fax_number": "507-779-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "ANGELA",
        "middle_name": "EMERICK",
        "name_prefix": "Dr.",
        "credential": "PSY.D. LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "EMERICK",
            "middle_name": "NICOLE",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• DRS Kanyusik Wiemers & Runck PA
• Olivia Marquea Drummer, OTR/L
• Crisstill Ann Duaso, RDH
• Crystal Marie Dubbelde, MSW, LISCW
• Garrett Duffin, PT, DPT
• Thomas Warner Dull, OD OPTOMETRIST
• Bruce G Dumke, DDS
• Leanna Duncanson, RN
• James R Dungan, MD
• Leonard K Dunikoski, DO

• Clinical Psychologist in Mankato, MN
• Providers in Mankato, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.