Individual provider Active NPI

Angela Serravalle, PSYD, LPCMH, NCC

  • Psychologist
  • Townsend, DE
National Provider Identifier
1376955393
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
B1-0011250 Issued in DE
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

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PC-0000607DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Balanced Living Mental Health CurrentSince Sep 1, 2021 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.

Verify at the official NPI Registry.