Individual provider Active NPI

Angela Venda

  • Clinical Psychologist
  • St Petersburg, FL
National Provider Identifier
1609366210
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
12929 Issued in FL
Practice address
7901 4TH St N Ste 33364
St Petersburg, FL 33702-4305
Phone
(619) 576-4020
Fax
(888) 267-8549
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 12996862-2501 UT
Clinical Psychologist 103TC0700X 32761 CA
Clinical Psychologist 103TC0700X 12929 FL Primary

Addresses

Primary practice location

7901 4TH St N Ste 33364
St Petersburg, FL 33702-4305

Mailing address

7901 4TH St N Ste 33364
St Petersburg, FL 33702-4305
Phone (619) 576-4020

Other practice location 1

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (619) 576-4020

Other practice location 2

2108 N St Ste N
Sacramento, CA 95816-5712
Phone (619) 576-4020

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

LicenseStateTypeSpecialty
12996862-2501UTMDClinical Psychologist
32761CAMDGeneral Practice Dentistry
12929FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valor Psychology for Veterans Current Accepting new patients

Locations

7533 S Center View Ct
West Jordan, UT 84084
Phone (385) 539-2077

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1609366210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 33364",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "619-576-4020",
            "fax_number": "888-267-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 33364",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "619-576-4020",
            "fax_number": "888-267-8549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Balcones Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787314298",
            "country_code": "US",
            "telephone_number": "619-576-4020",
            "fax_number": "888-267-8549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2108 N St Ste N",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165712",
            "country_code": "US",
            "telephone_number": "619-576-4020",
            "fax_number": "888-267-8549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENDA",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "12996862-2501",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32761",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "12929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.