Healthcare Provider Details

I. General information

NPI: 1992893382
Provider Name (Legal Business Name): FRANK SAM ARCANGELO PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 FRANKLIN ST
SARATOGA SPRINGS NY
12866-3023
US

IV. Provider business mailing address

32 CONDON RD
STILLWATER NY
12170-1914
US

V. Phone/Fax

Practice location:
  • Phone: 518-587-0499
  • Fax: 518-587-0536
Mailing address:
  • Phone: 518-583-4834
  • Fax: 518-587-0536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number008115-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number00811501
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number008115-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number008115-1
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number008115-1
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number008115-1
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number008115-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: