Angela Sabina Redlak-Olcese, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3208 Issued in NC

Practice address

10801 Johnston Rd
Suite 217
Charlotte, NC 28226

Phone

(704) 654-9760

Fax

(772) 672-3667

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Angela Sabina Redlak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 31, 2019 through Dec 31, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Redlak Recovery Center, PLLC

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1235406109
  NPD (past) Authorized official
• The Renfrew Center of N. Carolina, LLC

  • Dietary Manager
  • Charlotte, NC
  • NPI 1144725870
  NPD (past)
• The Renfrew Centers, Inc.

  • Adult Mental Health Clinic/Center
  • Charlotte, NC
  • NPI 1841497518
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1871654368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 JOHNSTON RD",
            "address_2": "SUITE 217",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-654-9760",
            "fax_number": "772-672-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 JOHNSTON RD",
            "address_2": "SUITE 217",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-654-9760",
            "fax_number": "772-672-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLAK-OLCESE",
        "first_name": "ANGELA",
        "middle_name": "SABINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000869",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "REDLAK",
            "middle_name": "SABINA",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Redemption Outreach Community Services
• Anthony TC Redfearn, LMFT/LPC/LCAS
• Debra Redfern, RN, CCM, QRP
• Kiara Sharnese Redice, LCMHCA
• Redlak Recovery Center, PLLC
• Redliner LLC
• Claire Redmon, DPT
• Jacquelyn Sydney Redmond, MS, LCAS, LCMHC, CSI
• Scott Anthony Redmond, CRNA
• Nusiebeh Sultan James Redpath, MD

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.