Individual provider Active NPI

Angela Marie Webb, PSY.D

  • Clinical Psychologist
  • Farmington, MO
National Provider Identifier
1942774500
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2015044985 Issued in MO
Practice address
212 W Columbia St Ste B
Farmington, MO 63640-1700
Phone
(573) 315-3800
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2015044985 MO Primary

Addresses

Primary practice location

212 W Columbia St Ste B
Farmington, MO 63640-1700

Mailing address

PO Box 142
Bonne Terre, MO 63628-0142
Phone (417) 569-0816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190525000094 MO Practitioner - Clinical Psychologist 2668715178 Reassigns benefits to 1 organization
I20190823002402 VA Practitioner - Clinical Psychologist 2668715178 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015044985MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Meditelecare of Virginia, LLC Clinical CurrentSince Jul 12, 2019 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Mar 25, 2021 Accepting new patients

Locations

107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776

4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

Interoperability endpoints

  • Direct secure messaging: angelawebb@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1942774500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636280142",
            "telephone_number": "417-569-0816",
            "fax_number": "573-315-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W COLUMBIA ST STE B",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401700",
            "telephone_number": "573-315-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2015044985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.