Angelica Davison McCarthy, DAT, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001365 Issued in CT

Practice address

45 Green Hill Rd
Madison, CT 06443-2105

Phone

(412) 352-1186

NPI assigned

Mar 3, 2010

Last updated

Feb 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1437472552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 GREEN HILL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432105",
            "telephone_number": "412-352-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 GREEN HILL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432105",
            "telephone_number": "412-352-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Hiland Ave",
            "address_purpose": "LOCATION",
            "city": "Coraopolis",
            "state": "PA",
            "postal_code": "151081705",
            "country_code": "US",
            "telephone_number": "412-269-0872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "ANGELICA",
        "middle_name": "DAVISON",
        "name_prefix": "Dr.",
        "credential": "DAT, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "002573",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "001365",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristi Maynard, APRN
• Vanessa McConville
• Kathryn M McDonnell, APRN
• Courtney McGuigan, CRNA
• Renee Andersen McIntyre, LCSW
• Kelly A. McWilliams, LCSW

• Athletic Trainer in Madison, CT
• Providers in Madison, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.