Angel David, PSYD
NPI 1639687205ActiveIndividual· Psychologist, Clinical· West Linn, OR
Psychologist, Clinical (PSYD) in West Linn, Oregon, licensed in OR and IL, with an NPI issued in January 2018. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1639687205 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Jan 17, 2018 |
| Last updated in NPPES | Sep 11, 2026 |
| Certified by provider | Sep 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 4120 | OR |
| Psychologist, Clinical | 103TC0700X | 071.011110 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OR) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 19 clinical psychologists in West Linn · All clinical psychologists in Oregon