Angelique Chantel Demoncada, PHD, MS, MSCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60189001 Issued in WA

Practice address

1208 SW Harper Rd
Port Orchard, WA 98367-7555

Phone

(240) 463-3069

NPI assigned

Jul 26, 2007

Last updated

Aug 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1235329343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 HOLLY POND PL",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208864941",
            "telephone_number": "301-295-2457",
            "fax_number": "301-295-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 SW HARPER RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983677555",
            "telephone_number": "240-463-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMONCADA",
        "first_name": "ANGELIQUE",
        "middle_name": "CHANTEL",
        "name_prefix": "Dr.",
        "credential": "PHD, MS, MSCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60189001",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Ann-Marie Deisler, LMP
• Karen Diane Delacy
• Pil-Chung Delcampo, M.D.
• Shannon Eleanor Delnero, D.C.
• Jeanne Lynn Demeulenaere, BA MPT
• Yawen Deng
• Teresa M Derouin, MS
• Cameron Devitt, FNP-BC
• Daniel Eldredge Diamond, M.D.
• Christina Marie Diefel, CDPT

• Clinical Psychologist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.