Dr. Amanda D'Angelo, P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4954 Issued in NC

Legal business name

DR. AMANDA D'ANGELO, P.C.

Practice address

3907 Wrightsville Ave Ste 110
Wilmington, NC 28403-6251

Phone

(910) 799-6162

NPI assigned

Nov 16, 2017

Organization subpart

No

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

Authorized official

Name

Amanda D'AngeloNPI 1649636218

Title

Licensed Psychologist

Phone

(252) 725-1713

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda D'Angelo

  • Clinical Psychologist
  • Wilmington, NC
  • NPI 1649636218
  NPD Authorized official

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1215440938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 AMBER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 WRIGHTSVILLE AVE STE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036251",
            "telephone_number": "910-799-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AMANDA D'ANGELO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "252-725-1713"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NORTH CAROLINA",
            "identifier": "1649636218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Donovan Doyle, CNM, WHNP-BC
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• Dr. Douglas S. Fry DDS PLLC

• Psychologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.