Laura Jeanne D'Angelo, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD17729 Issued in TN

Practice address

950 S. Tamiami Trail
Suite 103
Sarasota, FL 34236

Phone

(941) 302-2426

Fax

(941) 421-0102

NPI assigned

Mar 7, 2007

Last updated

May 22, 2014By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

North Carolina Medical School, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center of Revitalizing Psychiatry, P.C.Group PAC ID 0648239988, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center of Revitalizing Psychiatry, P.C.

  • Psychiatry Physician
  • Rochelle Park, NJ
  • NPI 1356497960

  FL

  Medicare reassignment Care Compare group NPD
• Center of Revitalizing Psychiatry PC

  • Adult Mental Health Clinic/Center
  • Sarasota, FL
  • NPI 1538572854
  NPD (past)
• Gulf Coast Health Care Services, Inc.

  • Psychiatry Physician
  • Venice, FL
  • NPI 1356355358
  NPD (past)
• Centerstone of Tennessee, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manhattan, KS
  • NPI 1023900651
  NPD (past)
• Centerstone of Tennessee, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashville, TN
  • NPI 1396767430
  NPD (past)
• Parkwest Medical Center

  dba Peninsula Div Parkwest MC

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1659401594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S. TAMIAMI TRAIL",
            "address_2": "SUITE 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34236",
            "telephone_number": "941-302-2426",
            "fax_number": "941-421-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S. TAMIAMI TRAIL",
            "address_2": "SUITE 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34236",
            "telephone_number": "941-302-2426",
            "fax_number": "941-421-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "LAURA",
        "middle_name": "JEANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD17729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003349200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Czarnopys, BCBA
• Elizabeth Czerniak
• Tarah Czyzewski
• Mark Lawrence D'Agostino, M.D.
• Charles D'Amico, D.D.S.
• Gillian D'Arcy, ATC
• Chris G D'Hespeel, P.T.
• Marisa Lynn D'Imperio, OT
• Anthony W D'Souza, MD
• Leo P Da Silva, LMT

• Psychiatry Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.