Individual provider Active NPI

Angel Elizabeth McCurdy, PSY D

  • Psychologist
  • Palmyra, PA
National Provider Identifier
1447358676
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015209 Issued in PA
Practice address
11 S. Green St.
Palmyra, PA 17078-2610
Phone
(717) 832-0120
Fax
(717) 832-0130
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS015209 PA Primary

Addresses

Primary practice location

11 S. Green St.
Palmyra, PA 17078-2610

Mailing address

11 S. Green St.
Palmyra, PA 17078-2610
Phone (717) 832-0120

Other identifiers 1

IdentifierTypeStateIssuer
07812508MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000729 PA Practitioner - Clinical Psychologist 8426235672 Practice locations: Palmyra, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 S Green St
Palmyra, PA 17078-2610
Phone (717) 832-0120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1447358676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S. GREEN ST.",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170782610",
            "telephone_number": "717-832-0120",
            "fax_number": "717-832-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S. GREEN ST.",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170782610",
            "telephone_number": "717-832-0120",
            "fax_number": "717-832-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURDY",
        "first_name": "ANGEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07812508",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, PA

Sources for this page

Verify at the official NPI Registry.