Angelica Shiels PSYD LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

05449 Issued in MD

Legal business name

ANGELICA SHIELS PSYD LLC

Practice address

1009 Frederick Rd
Catonsville, MD 21228-5055

Phone

(224) 723-3907

Fax

(844) 845-7993

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Angelica Shiels, PSYD

Title

Clinical Psychologist/Owner

Phone

(224) 723-3907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1306386099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 CENTURY VISTA DR",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210121203",
            "telephone_number": "224-723-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285055",
            "telephone_number": "224-723-3907",
            "fax_number": "844-845-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELICA SHIELS PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "SHIELS",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "224-723-3907",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.