John George Angelopoulos, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

520 SENIOR PSYCH EXM Issued in TN

Practice address

323 W Walnut St
Suite 201
Johnson City, TN 37604-6760

Phone

(423) 341-2673

Fax

(423) 929-9120

NPI assigned

Jan 4, 2007

Last updated

Apr 1, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1972650018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 RUSTIC RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047732",
            "telephone_number": "423-341-2673",
            "fax_number": "423-929-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W WALNUT ST",
            "address_2": "SUITE 201",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046760",
            "telephone_number": "423-341-2673",
            "fax_number": "423-929-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELOPOULOS",
        "first_name": "JOHN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LEAP#97",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "520 SENIOR PSYCH EXM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Lea Andrick, BS
• Keaton Steele Andrus, PHARMD
• Anesthesia and Pain Consultants,P.C.
• Anesthesia of Northeast Tennessee PLLC
• Angela R. Cameron, D.D.S.,P.C.
• Anindya Kumar Sen (East Tennessee Hematology/Oncology)
• Anindya Kumar Sen (East Tennessee Hematology Oncology)
• Stefani Annett, APN
• Noorin Ansari
• Amber Michelle Anzalone, LCSW

• Psychologist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.