DR. MICHAEL ANTHONY D'ANGELO III PSY.D. NPI 1003006966

Psychologist (Clinical) in Tacoma, WA

About MICHAEL D'ANGELO

Michael D'angelo is a provider in Tacoma, WA. The NPI number assigned to this provider is 1003006966. The practitioner's primary taxonomy code is Psychologist (103TC0700X). The provider is registered as an individual and their NPI record was last updated 5 years ago.

NPI1003006966 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. MICHAEL ANTHONY D'ANGELO III PSY.D.
Provider Location AddressMADIGAN ARMY MEDICAL CENTER 9040 REID ST TACOMA, WA 98431 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressMADIGAN ARMY MEDICAL CENTER 9040 REID ST TACOMA, WA 98431 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-27-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-01-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. MICHAEL ANTHONY D'ANGELO III PSY.D.
MADIGAN ARMY MEDICAL CENTER 9040 REID ST
TACOMA, WA
ZIP 98431
Phone: (253) 968-5370
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Mailing Address

DR. MICHAEL ANTHONY D'ANGELO III PSY.D.
MADIGAN ARMY MEDICAL CENTER 9040 REID ST
TACOMA, WA
ZIP 98431
Phone: (253) 968-5370

Primary Taxonomy

Taxonomy Code103TC0700X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.PSY20354
License StateCA

Map Location


DR. MICHAEL ANTHONY D'ANGELO III PSY.D. address is MADIGAN ARMY MEDICAL CENTER 9040 REID ST TACOMA, WA 98431

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235686304 KATHRYN RIEGER DONAIS ARNP, FNP-C, RN
Individual
Nurse Practitioner (Family)MADIGAN ARMY MEDICAL CENTER 9040 REID ST ATTN: MCHJ-CLQ-C
TACOMA, WA 98431
(253) 968-2252
1275857054MISS NATALIE GAYLE MANN MSW, LICSW
Individual
Social Worker (Clinical)MADIGAN ARMY MEDICAL CENTER 9040 REID ST
TACOMA, WA 98431
(253) 968-1110
1558566232MRS. MEGAN MARIE KINGSLEY GALE MSAOM, LAC, LMT
Individual
AcupuncturistMADIGAN ARMY MEDICAL CENTER 9040 REID ST ATTN: MCHJ-CLQ-C
TACOMA, WA 98431
(253) 968-2252
1558739813 SAMANTHA LENZ RN
Individual
Registered NurseMADIGAN ARMY MEDICAL CENTER 9040 REID ST ATTN: MCHJ-CLQ-C
TACOMA, WA 98431
(253) 968-2252