Angela C Stanley, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2751 Issued in WI

Practice address

W178N9912 Rivercrest Dr Ste 108
Germantown, WI 53022-4662

Phone

(262) 229-5581

NPI assigned

Mar 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Angela C. Stanley, Psy.D. Psychological Services LLC

  • Clinical Psychologist
  • Germantown, WI
  • NPI 1205490844
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1275657272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W178N9912 RIVERCREST DR STE 108",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224662",
            "telephone_number": "262-229-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W178N9912 RIVERCREST DR STE 108",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224662",
            "telephone_number": "262-229-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "ANGELA",
        "middle_name": "C",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WI",
            "license": "2751-057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39160100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael John Spenner, RN
• Jill Spielmann, LPC
• Sports Physical Therapy & Rehab Specialist, S.C.
• Rachel Lynn Squibb
• SSC Germantown Operating Company LLC
• Jerrel L Stanley, MD
• Melanie Steffens, PHARMD
• Victoria (Vicki) Dawn Stoddart Walther, LMT
• Stoeckl Family Dentistry, SC
• Clemens K Stoeckl, D.D.S

• Clinical Psychologist in Germantown, WI
• Providers in Germantown, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.

Verify at the official NPI Registry.