Active NPI
Martha H Angel, PSY.D., LCPC
- Clinical Psychologist
- Bloomingdale, IL
National Provider Identifier
1760675896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 180.005122
- Practice address
- 292 Lorraine Cir
Bloomingdale, IL 60108-2547 - Phone
- (847) 630-7818
- NPI assigned
- Aug 22, 2007
- 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 | 180.005122 | IL | Primary |
Addresses
Primary practice location
292 Lorraine Cir
Bloomingdale, IL 60108-2547
Mailing address
292 Lorraine Cir
Bloomingdale, IL 60108-2547
Phone (847) 630-7818
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.005122 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & a Clinical Counseling Solutions, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Warrenville, IL
- NPI 1306248505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1760675896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 LORRAINE CIR",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082547",
"telephone_number": "847-630-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 LORRAINE CIR",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082547",
"telephone_number": "847-630-7818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGEL",
"first_name": "MARTHA",
"middle_name": "H",
"credential": "PSY.D., LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "180.005122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.