Angela Copeland, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY22974 Issued in CA

Practice address

1761 Hotel Cir S Ste 120
San Diego, CA 92108-3318

Phone

(760) 449-1888

Fax

(619) 292-0300

NPI assigned

Jun 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Angela Dilucchio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2021 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Angela D Copeland

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1861899080
  NPD (past) Authorized official

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1235175316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8697 LA MESA BLVD STE C174",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429565",
            "telephone_number": "760-449-1888",
            "fax_number": "619-292-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 HOTEL CIR S STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083318",
            "telephone_number": "760-449-1888",
            "fax_number": "619-292-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5095 Murphy Canyon Rd",
            "address_2": "#100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234347",
            "country_code": "US",
            "telephone_number": "888-569-7200",
            "fax_number": "858-569-7240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9620 Chesapeake Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231324",
            "country_code": "US",
            "telephone_number": "619-814-6590",
            "fax_number": "619-814-6591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22974",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39137",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DILUCCHIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Xander Jack Cooper
• Rebecka Lynn Cooperman, NP
• Chene Coordt, OTR/L
• Coounty of San Diego
• Patrick Cope
• Carter Donald Copeland, PA-C
• Horace Allen Copeland
• Jack Copeland, MD
• Jennah Copeland
• Megan Buse Copeland, PA-C

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.