DR. ANGELA MARIE WEBB (PSY.D) – Clinical Psychologist, NPI 1942774500

DR. ANGELA MARIE WEBB (PSY.D) is a healthcare provider. based in Bonne terre, Missouri. specializing in Clinical Psychologist. They hold the professional credentials PSY.D. They hold a License No. 2015044985 (MO). The NPI Number for DR. ANGELA MARIE WEBB (PSY.D) is 1942774500

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGELA MARIE WEBB (PSY.D)
NPI
1942774500
Phone
(417) 569-0816
Address
319 SAINT PIERRE ST
Enumeration Date
17 January 2019
Last Update Date
19 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8327420117
Graduation Year
2014 (12 years ago)
PAC ID
2668715178
Group Practice PAC ID
2163785973
Professional Enrollment ID
I20190823002402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ANGELA MARIE WEBB (PSY.D)

  • 319 SAINT PIERRE ST

    BONNE TERRE, MO 636289253

    Phone: (417) 569-0816

    Type: Mailing

  • 1012, West Columbia Street, Farmington, St. Francois County, Missouri, 63640, United States

    FARMINGTON, MO 636402914

    Phone: (573) 218-7100

    Type: Location

  • 212 W COLUMBIA ST STE B

    FARMINGTON, MO 636401700

    Phone: (573) 315-3800

    Type: Location

  • PO BOX 142

    BONNE TERRE, MO 636280142

    Phone: (417) 569-0816

    Fax: (573) 315-3815

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190525000094IClinical PsychologistMOTBD
I20190823002402IClinical PsychologistVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63628)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163785973View full group profile
NameSpecialtyState
Clinical PsychologistOH
Nurse PractitionerKY
-VA
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I verify DR. ANGELA MARIE WEBB (PSY.D) with an NPI only?
You can start verification with NPI 1942774500 for DR. ANGELA MARIE WEBB (PSY.D), then check state licensing separately.
Is DR. ANGELA MARIE WEBB (PSY.D) listed as active for patients and plans?
The listing shows DR. ANGELA MARIE WEBB (PSY.D) as active in the NPI system.
What is DR. ANGELA MARIE WEBB (PSY.D)'s specialty?
The listing groups DR. ANGELA MARIE WEBB (PSY.D) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANGELA MARIE WEBB (PSY.D)?
DR. ANGELA MARIE WEBB (PSY.D)'s geographic hint is Bonne Terre, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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