Provider Demographics
NPI:1821985276
Name:FLANAGAN, ANGELA (PSYD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1737 WISTERIA CIR
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-3046
Mailing Address - Country:US
Mailing Address - Phone:631-946-4536
Mailing Address - Fax:
Practice Address - Street 1:50 CENTRAL PARK W APT 1D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6006
Practice Address - Country:US
Practice Address - Phone:646-930-0457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist