Active NPI
Casey Leigh Angel, PSYD
- Clinical Psychologist
- Edwards, CO
National Provider Identifier
1568614865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3256
- Practice address
- 439 Edwards Access Rd
Edwards, CO 81632-5634 - Phone
- (970) 455-2489
- NPI assigned
- Oct 17, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3256 | CO | Primary |
Addresses
Primary practice location
439 Edwards Access Rd
Edwards, CO 81632-5634
Mailing address
PO Box 1529
Vail, CO 81658-1529
Phone (970) 306-3773
Other names 1
- Casey Leigh Wolfington
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3256 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1568614865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1529",
"city": "VAIL",
"state": "CO",
"postal_code": "816581529",
"telephone_number": "970-306-3773",
"fax_number": "970-668-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 EDWARDS ACCESS RD",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816325634",
"telephone_number": "970-455-2489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGEL",
"first_name": "CASEY",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASEY",
"last_name": "WOLFINGTON",
"middle_name": "LEIGH",
"credential": "PSYD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.