Angela R Wendorf, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10177 Issued in MA

Practice address

403 Belmont St
Worcester, MA 01604-1019

Phone

(413) 584-4040

NPI assigned

Jun 25, 2015

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Northampton Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Worcester, MA
  • NPI 1528354180
  NPD

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1841672805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041019",
            "telephone_number": "413-584-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041019",
            "telephone_number": "413-584-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 N Main St",
            "address_purpose": "LOCATION",
            "city": "Leeds",
            "state": "MA",
            "postal_code": "010539764",
            "country_code": "US",
            "telephone_number": "413-584-4040 x6643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDORF",
        "first_name": "ANGELA",
        "middle_name": "R",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "10177",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10177",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "10177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110105680A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "S400258076",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Welsh
• Brittany Welton
• Jill Marie Welton
• Daniel Wemple, M.D.
• Melissa Wenderoth
• Emma Kathryn Wendt, LMHC
• Yanqiu Weng
• Alexandre Joseph Wenk-Bodenmiller, MD
• Karen Wentworth, PSYD
• Simon Allen Wentworth

• Clinical Psychologist in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.