Active NPI
Angel G Lugo Steidel, PH.D.
- Clinical Psychologist
- West Point, NY
National Provider Identifier
1871780122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017122-1
- Practice address
- Keller Army Community Hospital
Community Mental Health Services
West Point, NY 10996 - Phone
- (845) 938-3441
- Fax
- (845) 938-5770
- NPI assigned
- Oct 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 017122-1 | NY | Primary |
Addresses
Primary practice location
Keller Army Community Hospital
Community Mental Health Services
West Point, NY 10996
Mailing address
Keller Army Community Hospital
Community Mental Health Services
West Point, NY 10996
Phone (845) 938-3441
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017122-1 | NY | MD | Clinical Psychologist |
| 017122 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1871780122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KELLER ARMY COMMUNITY HOSPITAL",
"address_2": "COMMUNITY MENTAL HEALTH SERVICES",
"city": "WEST POINT",
"state": "NY",
"postal_code": "10996",
"telephone_number": "845-938-3441",
"fax_number": "845-938-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KELLER ARMY COMMUNITY HOSPITAL",
"address_2": "COMMUNITY MENTAL HEALTH SERVICES",
"city": "WEST POINT",
"state": "NY",
"postal_code": "10996",
"telephone_number": "845-938-3441",
"fax_number": "845-938-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO STEIDEL",
"first_name": "ANGEL",
"middle_name": "G",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-01",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017122-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.