NPI 1972650018 · live from the CMS NPI Registry
John George Angelopoulos, Ed.D.
Psychologist in Johnson City, TN. National Provider Identifier 1972650018, active.
NPI record
| NPI | 1972650018 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 323 W Walnut St, Suite 201, Johnson City, TN 37604 |
| Practice phone | 423-341-2673 |
| Mailing address | 1904 Rustic Rd, Johnson City, TN 37604 |
| Enumerated | January 4, 2007 |
| Last updated | April 1, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | leap#97 (TN) |
| Psychologist primary | 103T00000X | 520 Senior Psych Exm (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.