Individual provider Active NPI

Francis M. Angelella, PSY.D.

  • Clinical Psychologist
  • Exeter, PA
National Provider Identifier
1295824308
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016003 Issued in PA
Practice address
1277 Wyoming Avenue
Exeter, PA 18643-1435
Phone
(570) 654-8000
Fax
(570) 654-8002
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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 PS016003 PA Primary

Addresses

Primary practice location

1277 Wyoming Avenue
Exeter, PA 18643-1435

Mailing address

1277 Wyoming Avenue
Exeter, PA 18643-1435
Phone (570) 654-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060510000409 PA Practitioner - Clinical Psychologist 6800807488 Practice locations: Exeter, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1277 Wyoming Ave
Exeter, PA 18643-1435
Phone (570) 654-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS016003PAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1295824308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 WYOMING AVENUE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431435",
            "telephone_number": "570-654-8000",
            "fax_number": "570-654-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 WYOMING AVENUE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431435",
            "telephone_number": "570-654-8000",
            "fax_number": "570-654-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELELLA",
        "first_name": "FRANCIS",
        "middle_name": "M.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, PA

Sources for this page

Verify at the official NPI Registry.