BENJAMIN ROBERT D'ANGELO PH.D.
NPI 1558387902
Psychologist - Clinical in Cleveland, WI

Q: What is Benjamin D'angelo's NPI number?

The NPI number for Benjamin D'angelo is 1558387902. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Q: What is Benjamin D'angelo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin D'angelo 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.

Active since July 15, 2006

1205 NORTH AVE, CLEVELAND, WI 53015(920) 693-5600(920) 693-5604 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Benjamin Robert D'angelo Ph.d. NPPES

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

BENJAMIN ROBERT D'ANGELO PH.D. (NPI 1558387902) is an individual clinical provider in Cleveland, Wisconsin, licensed in Wisconsin (2586-057) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1558387902

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameBENJAMIN ROBERT D'ANGELOCredential: PH.D.

Location Address1205 NORTH AVECleveland, WI 53015-1413

Mailing Address1205 North AveCleveland, WI 53015-1413

Phone(920) 693-5600

Fax(920) 693-5604

Sole ProprietorNo

Enumeration DateJuly 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1558387902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WI · 2586-057

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1205 NORTH AVE, Cleveland, WI 53015

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Other Providers at the Same Location NPPES 17

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

MRS. AMY SUE MCKENZIE MSW LCSW SAC

Social Worker (Clinical)