Individual provider Active NPI

Anne Cangello, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Arlington, MA
National Provider Identifier
1336219955
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
10483 Issued in MA
Practice address
661 Massachusetts Ave Ste 2
Arlington, MA 02476-5001
Phone
(781) 645-9998
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10483 MA
Clinical Child & Adolescent Psychologist 103TC2200X 017234 NY
Clinical Child & Adolescent Psychologist 103TC2200X 10483 MA Primary

Addresses

Primary practice location

661 Massachusetts Ave Ste 2
Arlington, MA 02476-5001

Mailing address

661 Massachusetts Ave Ste 2
Arlington, MA 02476-5001
Phone (781) 645-9998

Other identifiers 1

IdentifierTypeStateIssuer
00354316MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10483MAMDMental Health Counselor
017234NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Counseling, LLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

661 Massachusetts Ave
Ste 2
Arlington, MA 02476
Phone (617) 863-6355

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1336219955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 MASSACHUSETTS AVE STE 2",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024765001",
            "telephone_number": "781-645-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 MASSACHUSETTS AVE STE 2",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024765001",
            "telephone_number": "781-645-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGELLO",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10483",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "017234",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "10483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.