Active NPI
Angelica Mairim Mangual Ruiz, PSYD
- Clinical Psychologist
- Orange Park, FL
National Provider Identifier
1366918385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7709
- Practice address
- 1855 Wells Rd Ste 1
Orange Park, FL 32073-6766 - Phone
- (904) 523-1287
- Fax
- (904) 615-6919
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | TPPY2588 | FL | |
| Clinical Psychologist | 103TC0700X | 7709 | PR | Primary |
| Counseling Psychologist | 103TC1900X | TPPY2588 | FL |
Addresses
Primary practice location
1855 Wells Rd Ste 1
Orange Park, FL 32073-6766
Mailing address
1855 Wells Rd Ste 1
Orange Park, FL 32073-6766
Phone (904) 523-1287
Other practice location 1
16 Calle Jose C. Barbosa
Suite #3
Las Piedras, PR 00771
Phone (904) 523-1287
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
| License | State | Type | Specialty |
|---|---|---|---|
| TPPY2588 | FL | MD | Psychologist |
| 7709 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1366918385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 WELLS RD STE 1",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320736766",
"telephone_number": "904-523-1287",
"fax_number": "904-615-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 WELLS RD STE 1",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320736766",
"telephone_number": "904-523-1287",
"fax_number": "904-615-6919"
}
],
"practiceLocations": [
{
"address_1": "16 Calle Jose C. Barbosa",
"address_2": "Suite #3",
"address_purpose": "LOCATION",
"city": "Las Piedras",
"state": "PR",
"postal_code": "00771",
"country_code": "US",
"telephone_number": "904-523-1287",
"fax_number": "904-615-6919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANGUAL RUIZ",
"first_name": "ANGELICA",
"middle_name": "MAIRIM",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "TPPY2588",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "7709",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "TPPY2588",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.