Individual provider Active NPI

Angela Michelle Joseph, AMFT

  • Marriage & Family Therapist
  • Vallejo, CA
National Provider Identifier
1134316532
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105236 Issued in CA
Practice address
4605 April CT
Vallejo, CA 94591-6378
Phone
(707) 980-6875
NPI assigned
Sep 28, 2007
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 105236 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X 105236 CA

Addresses

Primary practice location

4605 April CT
Vallejo, CA 94591-6378

Mailing address

1010 Helen Power Dr # 1058
Vacaville, CA 95687-3504
Phone (510) 730-3928

Other practice location 1

602 Woodlark Dr
Suisun City, CA 94585-2244
Phone (707) 399-8927

Other names 1

  • Ms. Angela Michelle Mak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105236CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Adolescent Homes, Inc. CurrentSince Apr 16, 2023 Accepting new patients
Destiny Ripley PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1134316532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HELEN POWER DR # 1058",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873504",
            "telephone_number": "510-730-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 APRIL CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916378",
            "telephone_number": "707-980-6875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 Woodlark Dr",
            "address_purpose": "LOCATION",
            "city": "Suisun City",
            "state": "CA",
            "postal_code": "945852244",
            "country_code": "US",
            "telephone_number": "707-399-8927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105236",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "105236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MAK",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.