Individual provider Active NPI

Rocio Chang-Angulo, PSY.D.

  • Psychologist
  • Hartford, CT
National Provider Identifier
1386078442
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
003245 Issued in CT
Practice address
2074 Park St Ste 203
Hartford, CT 06106-2060
Phone
(860) 680-5461
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 003245 CT Primary

Addresses

Primary practice location

2074 Park St Ste 203
Hartford, CT 06106-2060

Mailing address

2074 Park St Ste 203
Hartford, CT 06106-2060
Phone (860) 680-5461

Other practice location 1

65 Kane Street
West Hartford, CT 06119-2110
Phone (860) 679-6700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rchang10682@direct.med.uchc.edu

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
003245CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1386078442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 PARK ST STE 203",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062060",
            "telephone_number": "860-680-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 PARK ST STE 203",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062060",
            "telephone_number": "860-680-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Kane Street",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061192110",
            "country_code": "US",
            "telephone_number": "860-679-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG-ANGULO",
        "first_name": "ROCIO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "003245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rchang10682@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "65 Kane Street",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061192110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.