Individual provider Active NPI

Angela C. Turner Dougherty

  • Psychologist
  • Albany, NY
National Provider Identifier
1245722578
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
418 Broadway # 8872
Albany, NY 12207-2922
Phone
(631) 213-7690
Fax
(631) 403-1184
NPI assigned
Jun 1, 2018
Reactivated
Apr 1, 2019
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

418 Broadway # 8872
Albany, NY 12207-2922

Mailing address

418 Broadway # 8872
Albany, NY 12207-2922
Phone (631) 213-7690

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)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate Psychological Services PLLC CurrentSince Mar 19, 2023 Accepting new patients
Thrive Psychological Practice PLLC Current Accepting new patients
University Hospital at Stony Brook Current Accepting new patients

Locations

418 Broadway
#8872
Albany, NY 12207
Phone (631) 213-7690

100 S Jersey Ave
Unit 21
East Setauket, NY 11733
Phone (631) 751-4152

Interoperability endpoints

  • Direct secure messaging: angela.turnerdougherty@direct.stonybrookmedicine.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1245722578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY # 8872",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "631-213-7690",
            "fax_number": "631-403-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BROADWAY # 8872",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "631-213-7690",
            "fax_number": "631-403-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER DOUGHERTY",
        "first_name": "ANGELA",
        "middle_name": "C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "deactivation_date": "2018-06-19",
        "reactivation_date": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.