ANGELA K BROGAN (NPI# 1487279105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487279105 |
| Entity Type | Individual |
| Full Name | ANGELA K BROGAN |
| Credential | PMHNP-BC |
| Practice Address |
130 1st St Nw Massillon OH 44647-5452 |
| Mailing Address |
625 Cleveland Ave Nw Canton OH 44702-1805 |
| Practice Telephone | 3308330234 |
| Practice Fax Number | 3308377705 |
| Mailing Telephone | 3304550374 |
| Mailing Fax Number | 3304536716 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.0026825 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9014 Ontario St Nw, Massillon, OH 446461660 | 3308441284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780985754 | Angela Marie Brogan | Speech-Language Pathologist | 15 Mount Ebo Rd S, Brewster, NY 10509-4004 | 2010-11-08 |
| Street Address |
130 1ST ST NW |
| City | MASSILLON |
| State | OH |
| Zip Code | 44647-5452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619178860 | Greg R Emanuelson | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2007-05-29 |
| 1063025500 | Caitlin L Kaglic | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2020-08-25 |
| 1477195550 | Char Lynn Kicos | Nurse Practitioner | 130 1st St Nw, Massillon, OH 44647-5452 | 2019-10-10 |
| 1548826530 | Shannon Anne Kahle | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2019-05-15 |
| 1801385570 | Morgan Nicolle Clevidence | Counselor | 130 1st St Nw, Massillon, OH 44647 | 2018-05-08 |
| 1326598343 | Ashley M Ackerman | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2016-10-13 |
| 1083164925 | Mary-catherine Beck | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2016-10-04 |
| 1235548660 | Anita M Ciccarelli | Nurse Practitioner | 130 1st St Nw, Massillon, OH 44647-5452 | 2014-08-11 |
| 1811301427 | Michael R Foran | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2014-06-12 |
| 1811148463 | Lisa Renee Dorland | Counselor | 130 1st St Nw, Massillon, OH 44647 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790215382 | Amanda N Bleigh | Occupational Therapy Assistant | 3046 Beaumont Ave. Nw, Massillon, OH 44647 | 2017-06-15 |
| 1073917886 | Benjamin Woodruff | Home Health | 1731 Tremont Ave, Massillon, OH 44647 | 2014-10-22 |
| 1912103433 | L.e.e.d.a. Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1620 Forest Avenue Se, Massillon, OH 44647 | 2007-06-22 |
| 1427601129 | Kristina D Mcclung | Licensed Practical Nurse | 5233 Revere Ave Nw, Massillon, OH 44647-1231 | 2019-07-22 |
| 1346289782 | Linda Kay Utes-gasber | Licensed Practical Nurse | 4422 Andette Ave Nw, Massillon, OH 44647-1272 | 2006-06-04 |
| 1710315395 | Massillon Cable Tv, Inc | Durable Medical Equipment & Medical Supplies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-10-17 |
| 1598196107 | Massillon Cable Tv Inc | Emergency Response System Companies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-12-06 |
| 1053648816 | Tina Marie Sherlock - Talbott | Nurse's Aide | 9 Country Club Cir Nw, Massillon, OH 44647-5114 | 2009-11-15 |
| 1508498049 | Allied Community Care LLC | Nurse Practitioner | 2615 Lincoln Way Nw, Massillon, OH 44647-5117 | 2020-02-12 |
| 1083912463 | Gary Yang | Chiropractor | 2617 Lincoln Way Nw, Massillon, OH 44647-5117 | 2011-03-08 |
| Find all providers in zip 44647 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508498049 | Allied Community Care LLC | Nurse Practitioner | 2615 Lincoln Way Nw, Massillon, OH 44647-5117 | 2020-02-12 |
| 1477195550 | Char Lynn Kicos | Nurse Practitioner | 130 1st St Nw, Massillon, OH 44647-5452 | 2019-10-10 |
| 1235548660 | Anita M Ciccarelli | Nurse Practitioner | 130 1st St Nw, Massillon, OH 44647-5452 | 2014-08-11 |
| 1578983870 | Megan Hawk | Nurse Practitioner | 1680 Nave Rd Se, Massillon, OH 44646-9604 | 2014-04-24 |
| 1205157575 | Perri-anne Pillot Concialdi | Nurse Practitioner | 4051 Lincoln Way E, Massillon, OH 44646-3770 | 2010-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1427658368 | Greta Katherine Heckmann | Nurse Practitioner | 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 | 2020-10-29 |
| 1083213078 | Smtia Sonali Carpenter | Nurse Practitioner | 9509 Knarwood Ct, Pickerington, OH 43147-8106 | 2020-10-20 |
| 1255939054 | Jessica Kincaid | Nurse Practitioner | 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 | 2020-10-14 |
| 1801493531 | Kasey Zink | Nurse Practitioner | 5934 Creek Rd Se, Washington Court House, OH 43160-8778 | 2020-10-06 |
| 1861099806 | Taylor Buck | Nurse Practitioner | 158 Rock Creek Dr, Delaware, OH 43015-2260 | 2020-10-02 |
| 1598371296 | Peace of Mind Therapeutics LLC | Nurse Practitioner | 5170 Pebble Brook Dr, Englewood, OH 45322-3632 | 2020-09-17 |
| 1003421827 | Rachel Bird | Nurse Practitioner | 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | 2020-09-09 |
| 1740894880 | Angel M Davis | Nurse Practitioner | 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 | 2020-09-05 |
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANGELA K BROGAN.
| 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.