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DR. ANGELA J. KOESTLER PH.D.
NPI 1942391180
Psychologist - Health Service in Vicksburg, MS

Active since September 27, 2006PECOS Enrolled
1121 GROVE ST, VICKSBURG, MS 39183(601) 634-0118(601) 630-0302 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Angela J. Koestler Ph.d. NPPES

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

DR. ANGELA J. KOESTLER PH.D. (NPI 1942391180) is an individual health service provider in Vicksburg, Mississippi, licensed in Mississippi (361) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942391180
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. ANGELA J. KOESTLERCredential: PH.D.
Location Address1121 GROVE STVicksburg, MS 39183-2913
Mailing Address16525 Highway 465Vicksburg, MS 39183-7941 · (601) 634-0118 · Fax (601) 630-0302
Phone(601) 634-0118
Fax(601) 630-0302
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateMarch 10, 2017
✔ NPI 1942391180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in MS · 361
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
1121 GROVE ST, Vicksburg, MS 39183
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Other Identifiers 1

Other640665522MS · Tax Id 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. Angela J. Koestler 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 3

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

DR. BARBARA WARNER MARTIN PH.D.
Psychologist (Clinical)
1121 GROVE ST
VICKSBURG, MS 39183
Warren County (601) 634-0118
THE NORDAL CLINIC, PA
Psychologist (Health Service)
1121 GROVE ST
VICKSBURG, MS 39183
Warren County (601) 634-0118
DR. KATHERINE C. NORDAL PH.D.
Psychologist
1121 GROVE ST
VICKSBURG, MS 39183
Warren County (601) 634-0118

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 Angela Koestler's NPI number?

The NPI number for Angela Koestler is 1942391180. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Angela Koestler located?

Angela Koestler practices at 1121 Grove St, Vicksburg, MS 39183. The listed phone number is (601) 634-0118.

What is Angela Koestler's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Angela Koestler enrolled in Medicare?

Yes. Angela Koestler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Koestler was last updated on March 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.