Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGEL DAVID PSYD
NPI 1639687205
Psychologist - Clinical in West Linn, OR

Active since January 17, 2018PECOS Enrolled
1750 BLANKENSHIP RD STE 400, WEST LINN, OR 97068(503) 659-5515 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 11, 2026, Dec 17, 2025, Jan 17, 2018 (3 updates tracked since 2018).

About Angel David Psyd NPPES

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

ANGEL DAVID PSYD (NPI 1639687205) is an individual clinical provider in West Linn, Oregon, licensed in Oregon (4120) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Schaumburg, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639687205
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameANGEL DAVIDCredential: PSYD
Location Address1750 BLANKENSHIP RD STE 400West Linn, OR 97068-5102
Mailing Address950 Lee St Ste 105Des Plaines, IL 60016-6556 · (877) 486-4140
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 17, 2018
Last NPPES UpdateSeptember 11, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1639687205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in OR · 4120✔ Licensed in IL · 071.011110
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.
1750 BLANKENSHIP RD STE 400, West Linn, OR 97068

Secondary Practice Location 1

Location 11365 Wiley Rd Ste 147Schaumburg, IL 60173-4357 · Phone (224) 801-4514

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angel David Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325522592
PECOS Enrollment IDI20260325002687
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Counselor (Professional)
1750 BLANKENSHIP RD STE 400
WEST LINN, OR 97068
Counselor (Professional)
1750 BLANKENSHIP RD STE 400
WEST LINN, OR 97068
Psychologist (Clinical)
1750 BLANKENSHIP RD STE 400
WEST LINN, OR 97068
Counselor (Professional)
1750 BLANKENSHIP RD STE 400
WEST LINN, OR 97068

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 Angel David's NPI number?

The NPI number for Angel David is 1639687205. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Angel David located?

Angel David practices at 1750 Blankenship Rd Ste 400, West Linn, OR 97068. The listed phone number is (503) 659-5515.

What is Angel David's specialty?

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

Is Angel David enrolled in Medicare?

Yes. Angel David is registered in the Medicare PECOS enrollment system.

What insurance does Angel David accept?

Health plans from UnitedHealthcare list Angel David as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angel David was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.