Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angel S Stanley, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821470725

Angel S Stanley, PMHNP-BC is a Nurse Practitioner in Syracuse, New York. Qualified in 2015, 11 years ago. Practices with Liberty Resources Inc, a 74-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1045 James St Ste 100
Syracuse, NY 13203-2758
Phone: (315) 472-4471
Fax: (315) 999-1377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F401833-1 (NY)

Record details

NPI number1821470725
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 26, 2015
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Liberty Resources Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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