ANGELA BACAK (NPI# 1558841569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558841569 |
| Entity Type | Individual |
| Full Name | ANGELA BACAK |
| Credential | PSY.S |
| Practice Address |
145 N Quentin Rd Newark OH 43055-4623 |
| Mailing Address |
6986 Polpis Rd Reynoldsburg OH 43068-7170 |
| Practice Telephone | 7403496084 |
| Mailing Telephone | 3305036241 |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
OH3282914 | OH | Behavioral Health & Social Service Providers |
| Street Address |
145 N QUENTIN RD |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457656845 | Caroline Depriest | Speech-Language Pathologist | 145 N Quentin Rd, Newark, OH 43055-4623 | 2011-01-17 |
| 1790390482 | Anna Lois Thomas | Speech-Language Pathologist | 145 N Quentin Rd, Newark, OH 43055-4623 | 2020-09-10 |
| 1619589363 | Baylee Gearhart | Speech-Language Pathologist | 145 N Quentin Rd, Newark, OH 43055-4623 | 2020-08-22 |
| 1053923292 | Michelle Rush | Occupational Therapy Assistant | 145 N Quentin Rd, Newark, OH 43055-4623 | 2020-08-19 |
| 1649817651 | Darcie L Smith | Occupational Therapy Assistant | 145 N Quentin Rd, Newark, OH 43055-4623 | 2019-12-09 |
| 1003462177 | Katheryn Perse | Speech-Language Pathologist | 145 N Quentin Rd, Newark, OH 43055-4623 | 2019-08-14 |
| 1447806559 | Christina Rene Rector | Occupational Therapist | 145 N Quentin Rd, Newark, OH 43055-4623 | 2019-08-14 |
| 1659850378 | Olha Mary Lawriw | Occupational Therapist | 145 N Quentin Rd, Newark, OH 43055-4623 | 2018-08-13 |
| 1699253070 | Robert C Timmons | Psychologist | 145 N Quentin Rd, Newark, OH 43055-4623 | 2018-07-30 |
| 1275011504 | Christina Xidas | Speech-Language Pathologist | 145 N Quentin Rd, Newark, OH 43055-4623 | 2018-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568860989 | Matthew Facemire | Psychologist | 3797 Pleasant Chapel Rd, Newark, OH 43056-9627 | 2014-12-17 |
| 1275931396 | Jeffrey Petrey | Psychologist | 1341 Estates Dr, Newark, OH 43055-1787 | 2014-12-06 |
| 1497005227 | Victoria E Sackett | Psychologist | 868 Peirson Ave., Newark, NY 14513-9762 | 2012-09-19 |
| 1225645492 | Michelle Elenore Salvatore | Psychologist | 55a S Meadowood Dr, Newark, DE 19711-6755 | 2020-09-30 |
| 1639738024 | Kara James | Psychologist | 848 Peirson Ave, Newark, NY 14513-9762 | 2019-06-10 |
| 1992362495 | Lathyrelle Alease Isler | Psychologist | 1901 S College Ave, Newark, DE 19702-2377 | 2019-05-21 |
| 1134608920 | Karlie Anne Foy | Psychologist | 621 Mount Vernon Rd, Newark, OH 43055-4615 | 2018-08-13 |
| 1699253070 | Robert C Timmons | Psychologist | 145 N Quentin Rd, Newark, OH 43055-4623 | 2018-07-30 |
| 1245693407 | Sarah Brocker | Psychologist | 621 Mount Vernon Rd, Newark, OH 43055-4615 | 2016-04-04 |
| 1770980971 | Melissa Flanigan | Psychologist | 1379 Licking Valley Rd, Newark, OH 43055-9450 | 2014-12-03 |
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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.