Active NPI
Angela D Null, M.S.
- Psychologist
- South Charleston, WV
National Provider Identifier
1770676231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 754
- Practice address
- 312 6TH Ave Ste 2
South Charleston, WV 25303-1265 - Phone
- (304) 768-6170
- Fax
- (304) 768-2099
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 754 | WV | |
| Psychologist | 103T00000X | 754 | WV | Primary |
Addresses
Primary practice location
312 6TH Ave Ste 2
South Charleston, WV 25303-1265
Mailing address
312 6TH Ave Ste 2
South Charleston, WV 25303-1265
Phone (304) 768-6170
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drdan@psycareinc.gwaydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
312 6TH Ave
Suite 2
South Charleston, WV 25303-1265
Phone (304) 768-6170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Psycare Inc | Psychologist | Current | Accepting new patients |
Locations
204 8th St
Marlinton, WV 24954
Phone (202) 803-7979
312 6th Ave
Ste 2
South Charleston, WV 25303
Phone (304) 345-0880
Interoperability endpoints
- drdan@psycareinc.gwaydirect.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1770676231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 6TH AVE STE 2",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031265",
"telephone_number": "304-768-6170",
"fax_number": "304-768-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 6TH AVE STE 2",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031265",
"telephone_number": "304-768-6170",
"fax_number": "304-768-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NULL",
"first_name": "ANGELA",
"middle_name": "D",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "754",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "754",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drdan@psycareinc.gwaydirect.com",
"affiliation": "N",
"address_1": "312 6th Ave Ste 2",
"city": "South Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253031265",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.