Active NPI
Angelica Wierzel
- School Psychologist
- Washington, DC
National Provider Identifier
1366830846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 800 Ingraham St NW
Washington, DC 20011-2904 - Phone
- (202) 576-6202
- NPI assigned
- Jan 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | DC | Primary | |
| School Psychologist | 103TS0200X | 456801 | MA |
Addresses
Primary practice location
800 Ingraham St NW
Washington, DC 20011-2904
Mailing address
302 Moseby CT
Manassas Park, VA 20111-2086
Phone (941) 544-1861
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 456801 | MA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1366830846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 MOSEBY CT",
"city": "MANASSAS PARK",
"state": "VA",
"postal_code": "201112086",
"telephone_number": "941-544-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 INGRAHAM ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112904",
"telephone_number": "202-576-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERZEL",
"first_name": "ANGELICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "DC",
"license": null,
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "456801",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.