DR. EDGAR O. ANGELONE (NPI# 1407919988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407919988 |
| Entity Type | Individual |
| Full Name | DR. EDGAR O. ANGELONE |
| Credential | PH.D |
| Practice Address |
2154 4th St San Rafael CA 94901-2650 |
| Practice Telephone | 4154573451 |
| Practice Fax Number | 4154573819 |
| Mailing Telephone | 4154573451 |
| Mailing Fax Number | 4154573819 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY13957 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | PSY13957 | 01 |
| Street Address |
2154 4TH ST |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770832479 | Sonya Bolch Angelone | Dietitian, Registered | 2154 4th St, San Rafael, CA 94901-2684 | 2012-09-10 |
| 1003102393 | Marin Neuropsychology and Psychological Center, PC | Clinical Neuropsychologist | 2154 4th St, San Rafael, CA 94901-2684 | 2011-06-24 |
| 1013148469 | Maria Jose Prieto De Estebecorena | Clinical Neuropsychologist | 2154 4th St, San Rafael, CA 94901-2694 | 2009-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275897480 | Amanda Mason | Clinical Neuropsychologist | 184 Cobblestone Dr, San Rafael, CA 94903-1510 | 2012-07-02 |
| 1164738464 | Jacob Panquale Panzarella | Clinical Neuropsychologist | 4040 Civic Center Dr, Suite 200, San Rafael, CA 94903-4150 | 2010-08-24 |
| 1255465266 | Stephen Drew | Clinical Neuropsychologist | 750 Las Gallinas Ave Ste 203, San Rafael, CA 94903-3432 | 2007-03-15 |
| 1902932783 | James Clinton Wilson | Clinical Neuropsychologist | 712 D St Ste N, San Rafael, CA 94901-3706 | 2007-02-26 |
| 1003102393 | Marin Neuropsychology and Psychological Center, PC | Clinical Neuropsychologist | 2154 4th St, San Rafael, CA 94901-2684 | 2011-06-24 |
| 1013148469 | Maria Jose Prieto De Estebecorena | Clinical Neuropsychologist | 2154 4th St, San Rafael, CA 94901-2694 | 2009-08-03 |
| 1114084530 | Nancy A Hoffman | Clinical Neuropsychologist | 1330 Lincoln Ave, Suite 110b, San Rafael, CA 94901-2120 | 2007-01-03 |
| 1215012729 | Leslie M Simon | Clinical Neuropsychologist | 1330 Lincoln Ave, Suite 306, San Rafael, CA 94901-2120 | 2006-10-25 |
| 1447298559 | Albert Michael Wolfe | Clinical Neuropsychologist | 1050 Northgate Dr, Suite 353, San Rafael, CA 94903-2526 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on DR. EDGAR O. ANGELONE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.