Organization Active NPI

Angela D Copeland

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1861899080
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22974 Issued in CA
Legal business name
ANGELA D COPELAND
Practice address
3525 4TH Ave
San Diego, CA 92103-4912
Phone
(760) 449-1888
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Dr. Angela Copeland, PSY.D.NPI 1235175316
Title
Psychologist/Owner
Phone
(760) 449-1888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY22974 CA Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 39137 CA

Addresses

Primary practice location

3525 4TH Ave
San Diego, CA 92103-4912

Mailing address

5120 Mount Helix Dr
La Mesa, CA 91941-4358
Phone (760) 449-1888

National Provider Directory

National Provider Directory

Locations

3525 4th Ave
San Diego, CA 92103
Phone (760) 449-1888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1861899080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 MOUNT HELIX DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414358",
            "telephone_number": "760-449-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034912",
            "telephone_number": "760-449-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA D COPELAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "760-449-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22974",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "39137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.