ANGEL DAVID PSYD
NPI 1639687205
Psychologist 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: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2025, Jan 17, 2018 (2 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 psychologist 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 Taxonomy103T00000X
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 UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1639687205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 4120
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071.011110 (IL)
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.

Other Providers at the Same Location NPPES 3

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

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 with taxonomy code 103T00000X.

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 December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.