Active NPI
Angela Christina Ware
- Cognitive & Behavioral Psychologist
- Jacksonville, FL
National Provider Identifier
1508650300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- IMT4316
- Practice address
- 10350 103Rd St Apt 3101
Jacksonville, FL 32210-8814 - Phone
- (803) 664-7518
- NPI assigned
- Apr 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | IMT4316 | FL | Primary |
Addresses
Primary practice location
10350 103Rd St Apt 3101
Jacksonville, FL 32210-8814
Mailing address
10350 103Rd St Apt 3101
Jacksonville, FL 32210-8814
Phone (803) 664-7518
Other practice location 1
10350 103rd St Apt 3101
Jacksonville, FL 32210-8814
Phone (803) 664-7518
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 |
|---|---|---|---|
| IMT4316 | FL | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1508650300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 103RD ST APT 3101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322108814",
"telephone_number": "803-664-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10350 103RD ST APT 3101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322108814",
"telephone_number": "803-664-7518"
}
],
"practiceLocations": [
{
"address_1": "10350 103rd St Apt 3101",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322108814",
"country_code": "US",
"telephone_number": "803-664-7518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARE",
"first_name": "ANGELA",
"middle_name": "CHRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "IMT4316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.