Angie Bolanos- Cascio, PPS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

2091 Business Center Dr
150
Irvine, CA 92612-1130

Phone

(949) 250-1101

Fax

(949) 250-1103

NPI assigned

Dec 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Angie Bolanos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1629513510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 VAN NESS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212002",
            "telephone_number": "559-265-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 BUSINESS CENTER DR",
            "address_2": "150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121130",
            "telephone_number": "949-250-1101",
            "fax_number": "949-250-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANOS- CASCIO",
        "first_name": "ANGIE",
        "credential": "PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-16-24325",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "BOLANOS",
            "credential": "B.C.B.A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Bogdan, MFT
• Courtney Lashay Boggs
• Greg T Bohall, PSY.D.
• Kirsten Bohrnell, RD, CDCES
• Angela Bolanos Rosales
• Michaela Katherine Bolas
• James Jacob Boley, PHARM.D.
• Amaya Bolling
• Sebastian Gabriel Bonca
• Corey James Bond

• School Psychologist in Irvine, CA
• Providers in Irvine, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.