Individual provider Active NPI

Angela K Obeng, PSYD

  • Clinical Child & Adolescent Psychologist
  • Woodbridge, VA
National Provider Identifier
1619825114
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
2680 Opitz Blvd Ste 220
Woodbridge, VA 22192-6821
Phone
(571) 402-5092
NPI assigned
Mar 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

2680 Opitz Blvd Ste 220
Woodbridge, VA 22192-6821

Mailing address

9435 Lorton Market St
Lorton, VA 22079-1963
Phone (703) 309-3152

Other practice location 1

9435 Lorton Market St
Lorton, VA 22079-1963
Phone (571) 402-5092

Other practice location 2

3851 Sunny Brook Ct
Woodbridge, VA 22192-6442
Phone (703) 309-3152

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

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1619825114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 LORTON MARKET ST",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791963",
            "telephone_number": "703-309-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 OPITZ BLVD STE 220",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926821",
            "telephone_number": "571-402-5092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9435 Lorton Market St",
            "address_purpose": "LOCATION",
            "city": "Lorton",
            "state": "VA",
            "postal_code": "220791963",
            "country_code": "US",
            "telephone_number": "571-402-5092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3851 Sunny Brook Ct",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221926442",
            "country_code": "US",
            "telephone_number": "703-309-3152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBENG",
        "first_name": "ANGELA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.