Individual provider Active NPI

Angela D Null, M.S.

  • Psychologist
  • South Charleston, WV
National Provider Identifier
1770676231
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
754 Issued in WV
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

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180129002718 WV Practitioner - Clinical Psychologist 1456545813 Reassigns benefits to 2 organizations

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
Psycare IncGroup PAC ID 1759310998, 11 clinicians

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

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Psycare Inc Psychologist CurrentSince Dec 15, 2017 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.