DAVID ANGELICH, PSY. D., PLLC (NPI# 1952670762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952670762 |
| Entity Type | Organization |
| Organization Name | DAVID ANGELICH, PSY. D., PLLC |
| Practice Address |
4115 Wisconsin Ave Nw Suite 203 Washington DC 20016-2812 |
| Mailing Address |
4518 S Dakota Ave Ne Washington DC 20017-2752 |
| Practice Telephone | 2024946722 |
| Practice Fax Number | 2022482466 |
| Mailing Telephone | 2024946722 |
| Mailing Fax Number | 2022482466 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Authorized Official Name | DR. GEORGE DAVID ANGELICH (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2024946722 |
| Authorized Official Credential | PSY. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PSY1000493 | DC | Ambulatory Health Care Facilities |
| Street Address |
4115 WISCONSIN AVE NW SUITE 203 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932155108 | Lorraine I Carleo | Nurse Practitioner | 4115 Wisconsin Ave Nw, Suite 107, Washington, DC 20016-2812 | 2006-05-26 |
| 1811517824 | Mary L Szegda | Counselor | 4115 Wisconsin Ave Nw, Washington, DC 20016-2812 | 2020-04-20 |
| 1538470307 | Allison Sibley & Associates | Social Worker | 4115 Wisconsin Ave Nw, Suite 107, Washington, DC 20016-2812 | 2010-06-28 |
| 1760644769 | Allison Brackett Sibley | Social Worker | 4115 Wisconsin Ave Nw, Suite 107, Washington, DC 20016-2812 | 2008-06-30 |
| 1962611525 | Shelley Karliner | Social Worker | 4115 Wisconsin Ave Nw, Suite 203, Washington, DC 20016-2812 | 2007-05-21 |
| 1770798415 | Kristie Postorino | Social Worker | 4115 Wisconsin Ave Nw, Suite 107, Washington, DC 20016-2812 | 2007-05-14 |
| 1245361682 | Theodore Fuller | Psychologist | 4115 Wisconsin Ave Nw, 203, Washington, DC 20016-2812 | 2007-03-08 |
| 1295890028 | Tricia Bassing | Social Worker | 4115 Wisconsin Ave Nw, Suite 203, Washington, DC 20016-2812 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1639711054 | Some, Inc. | Clinic/Center | 1509 N Capitol St Ne, Washington, DC 20002-3343 | 2019-10-17 |
| 1841779782 | Capitol Hill Therapy LLC | Clinic/Center | 1002 E Capitol St Ne, Washington, DC 20003-3906 | 2018-08-10 |
| 1700389319 | The Aakoma Center, Pllc | Clinic/Center | 3000 Connecticut Ave Nw Apt 436, Washington, DC 20008-2556 | 2018-03-10 |
| 1043762941 | Trinity Services | Clinic/Center | 4401 Brooks St Ne, Washington, DC 20019-4606 | 2016-10-27 |
| 1942578133 | Psi Services IIi, Inc. | Clinic/Center | 770 M Street Se, Washington, DC 20003-3609 | 2011-12-02 |
| 1336301407 | Community Action Group | Clinic/Center | 3325 13th St Se, Washington, DC 20032-4533 | 2008-06-30 |
| 1205000585 | Wooded Acres Guest Home Inc | Clinic/Center | 3622 Cherry Road, Washington, NC 27889-7268 | 2008-04-17 |
| 1144839671 | Keeping Therapy Close, LLC | Clinic/Center | 100 M St Se Ste 600, Washington, DC 20003-3648 | 2020-07-30 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
Please comment or provide details below to improve the information on DAVID ANGELICH, PSY. D., PLLC.
| 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.