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DR. EDGAR O. ANGELONE PH.D
NPI 1407919988
Clinical Neuropsychologist in San Rafael, CA

Active since December 18, 2006PECOS Enrolled
2154 4TH ST, SAN RAFAEL, CA 94901(415) 457-3451(415) 457-3819 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edgar O. Angelone Ph.d NPPES

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

DR. EDGAR O. ANGELONE PH.D (NPI 1407919988) is an individual clinical neuropsychologist in San Rafael, California, licensed in California (PSY13957) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407919988
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. EDGAR O. ANGELONECredential: PH.D
Location Address2154 4TH STSan Rafael, CA 94901-2650
Mailing Address2154 4th StSan Rafael, CA 94901-2650 · (415) 457-3451 · Fax (415) 457-3819
Phone(415) 457-3451
Fax(415) 457-3819
Sole ProprietorYes
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407919988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY13957
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2154 4TH ST, San Rafael, CA 94901
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Other Identifiers 2

Medicare ID-Type UnspecifiedOPL139570CA · Provider Number
OtherPSY13957CA · License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edgar O. Angelone Ph.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 4

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

MARIN NEUROPSYCHOLOGY AND PSYCHOLOGICAL CENTER, PC
Clinical Neuropsychologist
2154 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 457-3451
MARIA JOSE PRIETO DE ESTEBECORENA PH,D.
Clinical Neuropsychologist
2154 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 457-3451
MARIN NEUROPSYCHOLOGY CENTER - A PSYCHOLOGY CORPORATION
Clinical Neuropsychologist
2154 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 457-3451
MS. SONYA BOLCH ANGELONE MS, RD, CLT
Dietitian, Registered
2154 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 509-3192

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 Edgar Angelone's NPI number?

The NPI number for Edgar Angelone is 1407919988. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Edgar Angelone located?

Edgar Angelone practices at 2154 4th St, San Rafael, CA 94901. The listed phone number is (415) 457-3451.

What is Edgar Angelone's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Edgar Angelone enrolled in Medicare?

Yes. Edgar Angelone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edgar Angelone was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.