San Diego Forensic Psychology Corporation

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

Legal business name

SAN DIEGO FORENSIC PSYCHOLOGY CORPORATION

Practice address

4640 Cass Street
# 90422
San Diego, CA 92109

Phone

(858) 274-0874

NPI assigned

Mar 29, 2019

Last updated

Jun 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanda Angioli, PSYCHOLOGISTNPI 1265997936

Title

President

Phone

(858) 274-0874

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanda M Angioli, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1265997936

  Forensic

  NPD Authorized official

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559952000000",
    "number": "1538620786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90422",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921692422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 CASS STREET",
            "address_2": "# 90422",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "858-274-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO FORENSIC PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-06-08",
        "status": "A",
        "authorized_official_last_name": "ANGIOLI",
        "authorized_official_first_name": "SHANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-274-0874",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.