Active NPI
Angela Serravalle, PSYD, LPCMH, NCC
- Psychologist
- Townsend, DE
National Provider Identifier
1376955393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- B1-0011250
- Practice address
- 5879 Summit Bridge Rd
Townsend, DE 19734-9375 - Phone
- (302) 608-3780
- Fax
- (302) 355-3226
- NPI assigned
- May 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC-0000607 | DE | |
| Psychologist | 103T00000X | B1-0011250 | DE | Primary |
Addresses
Primary practice location
5879 Summit Bridge Rd
Townsend, DE 19734-9375
Mailing address
5879 Summit Bridge Rd
Townsend, DE 19734-9375
Phone (302) 608-3780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240827001804 | DE | Practitioner - Psychologist Billing Independently | 1355659137 | Practice locations: Townsend, DE |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5879 Summit Bridge Rd
Townsend, DE 19734-9375
Phone (302) 608-3780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC-0000607 | DE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Balanced Living | Mental Health | Current | Accepting new patients |
Locations
1169 Walker Rd
Dover, DE 19904
Phone (302) 508-0541
5360 Summit Bridge Rd
#6
Middletown, DE 19709
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": "1401062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1376955393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5879 SUMMIT BRIDGE RD",
"city": "TOWNSEND",
"state": "DE",
"postal_code": "197349375",
"telephone_number": "302-608-3780",
"fax_number": "302-355-3226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5879 SUMMIT BRIDGE RD",
"city": "TOWNSEND",
"state": "DE",
"postal_code": "197349375",
"telephone_number": "302-608-3780",
"fax_number": "302-355-3226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRAVALLE",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "PSYD, LPCMH, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-26",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC-0000607",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DE",
"license": "B1-0011250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Townsend, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.