Active NPI
Angela D Copeland
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1861899080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY22974
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela Copeland, PSY.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY22974 | CA | Primary |
| Marriage & Family Therapist | 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 DirectoryLocations
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.