ANGELIQUA MITRA PSY.D.
NPI 1114350733
Psychologist in Huntington, NY

Active since August 19, 2013PECOS Enrolled
55 HORIZON DR, HUNTINGTON, NY 11743(631) 920-8004 Get Directions Write a Review

NPPES record last updated: August 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angeliqua Mitra Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELIQUA MITRA PSY.D. (NPI 1114350733) is an individual psychologist in Huntington, New York and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114350733
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameANGELIQUA MITRACredential: PSY.D.
Location Address55 HORIZON DRHuntington, NY 11743-4436
Mailing Address16 Winchester DrGlen Head, NY 11545-3203
Sole ProprietorNo
Enumeration DateAugust 19, 2013
NPI 1114350733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

55 HORIZON DR, Huntington, NY 11743

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Angeliqua Mitra Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
55 HORIZON DR
HUNTINGTON, NY 11743
Counselor (Mental Health)
55 HORIZON DR
HUNTINGTON, NY 11743
Counselor (Mental Health)
55 HORIZON DR
HUNTINGTON, NY 11743
Registered Nurse
55 HORIZON DR
HUNTINGTON, NY 11743
Clinic/Center (Multi-Specialty)
55 HORIZON DR
HUNTINGTON, NY 11743
Registered Nurse
55 HORIZON DR
HUNTINGTON, NY 11743
Student in an Organized Health Care Education/Training Program
55 HORIZON DR
HUNTINGTON, NY 11743
Social Worker (Clinical)
55 HORIZON DR
HUNTINGTON, NY 11743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angeliqua Mitra's NPI number?

The NPI number for Angeliqua Mitra is 1114350733. It was assigned to this individual provider in the NPPES registry on August 19, 2013.

Where is Angeliqua Mitra located?

Angeliqua Mitra practices at 55 Horizon Dr, Huntington, NY 11743. The listed phone number is (631) 920-8004.

What is Angeliqua Mitra's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Angeliqua Mitra enrolled in Medicare?

Yes. Angeliqua Mitra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angeliqua Mitra was last updated on August 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.