Active NPI
Angela Venda
- Clinical Psychologist
- St Petersburg, FL
National Provider Identifier
1609366210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 12929
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12996862-2501 | UT | MD | Clinical Psychologist |
| 32761 | CA | MD | General Practice Dentistry |
| 12929 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Adult Mental Health Clinic/Center
- St Petersburg, FL
- NPI 1144089996
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.