Individual provider Active NPI

Amanda D'Angelo

  • Clinical Psychologist
  • Wilmington, NC
National Provider Identifier
1649636218
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
103145 Issued in NC
Practice address
3907 Wrightsville Ave Ste 110
Wilmington, NC 28403-6251
Phone
(910) 799-6162
Fax
(910) 799-6171
NPI assigned
Jan 12, 2016
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 103145 NC Primary

Addresses

Primary practice location

3907 Wrightsville Ave Ste 110
Wilmington, NC 28403-6251

Mailing address

3516 Amber Dr
Wilmington, NC 28409-2569
Phone (252) 725-1713

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Amanda D'Angelo, P.C. Current Accepting new patients
Dr. Amanda D'Angelo, PLLC Current Accepting new patients

Locations

3907 Wrightsville Ave
Ste 110
Wilmington, NC 28403
Phone (910) 799-6162

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1649636218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 AMBER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092569",
            "telephone_number": "252-725-1713",
            "fax_number": "910-799-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 WRIGHTSVILLE AVE STE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036251",
            "telephone_number": "910-799-6162",
            "fax_number": "910-799-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "103145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.