BENJAMIN ROBERT D'ANGELO (NPI# 1558387902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558387902 |
| Entity Type | Individual |
| Full Name | BENJAMIN ROBERT D'ANGELO |
| Credential | PH.D. |
| Practice Address |
1205 North Ave Cleveland WI 53015-1413 |
| Practice Telephone | 9206935600 |
| Practice Fax Number | 9206935604 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2586-057 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1205 NORTH AVE |
| City | CLEVELAND |
| State | WI |
| Zip Code | 53015-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760807259 | Nathan Nitka | Dietitian, Registered | 1205 North Ave, Cleveland, WI 53015-1413 | 2014-02-20 |
| 1295060275 | Tao Lee | Nurse Practitioner | 1205 North Ave, Cleveland, WI 53015-1413 | 2009-10-08 |
| 1184860124 | Carrie Lynne Oakley | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2008-12-22 |
| 1841496486 | Charlene Mae Baumgartner | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2007-06-21 |
| 1013010024 | Amy Sue Mckenzie | Counselor | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-09-06 |
| 1154337558 | Cleveland Va Cboc | Clinic/Center | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-31 |
| 1417961590 | Jamie Lauren Olsen | Dietitian, Registered | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-27 |
| 1174537245 | Sue E. Thobaben | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-27 |
| 1255354064 | Carol Ilma Jacobs | Nurse Practitioner | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-25 |
| 1881614683 | Agnes E Deehr | Licensed Practical Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942392428 | Gary J Kunz | Nurse Practitioner | 1205 North Avenue, Cleveland, WI 53015 | 2006-09-29 |
| 1437611159 | Tss Equipment Company | Technician, Other | 14302 Pigeon River Rd, Cleveland, WI 53015-1158 | 2019-04-02 |
| 1023275013 | Lakeshore Community Dental Clinic | Clinic/Center | 1290 North Ave, Lakeshore Community Dental Clinic, Cleveland, WI 53015-1412 | 2008-05-19 |
| 1114290384 | Michelle Ann Hemb | Licensed Practical Nurse | 1345 W Washington Ave, Cleveland, WI 53015-1430 | 2012-02-17 |
| 1730653783 | Miranda Jost | Registered Nurse | N9548 Highway 42, Cleveland, WI 53015-1628 | 2019-01-13 |
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628409 | Maya Kemi Akinfosile | Psychologist | 2910 W 12th St Apt Up, Cleveland, OH 44113-5212 | 2020-10-27 |
| 1467000398 | Karissa Fogarty | Psychologist | 10524 Euclid Ave Fl 12, Cleveland, OH 44106-2205 | 2019-09-04 |
| 1346705530 | Sarah Hope Lincoln | Psychologist | 815 Superior Ave E Ste 611, Cleveland, OH 44114-2715 | 2019-02-01 |
| 1407369176 | Sara Rebecca Zryl | Psychologist | 10524 Euclid Ave Fl 7, Cleveland, OH 44106-2205 | 2017-11-15 |
| 1356866024 | Lindsay Tracy | Psychologist | 10701 E. Boulevard, Cleveland, OH 44106 | 2017-08-03 |
| 1336674274 | Monica Webb Hooper | Psychologist | 11000 Cedar Ave, Cleveland, OH 44106-3069 | 2017-04-28 |
| 1437605995 | Josie Bolanos | Psychologist | 10701 East Blvd # 116bw, Cleveland, OH 44106-1702 | 2016-08-25 |
| 1841575925 | Kristen Whitney Pohlman | Psychologist | 14538 Grapeland, Cleveland, OH 44111 | 2011-10-20 |
| 1346554730 | Julie Rish | Psychologist | 9500 Euclid Ave # M61, Cleveland, OH 44195-0001 | 2010-07-28 |
| 1427377399 | Tyffani M Dent | Psychologist | 3740 Euclid Ave, #200, Cleveland, OH 44115-2532 | 2010-05-18 |
| Find all providers in CLEVELAND | ||||
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| 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.