Angelique Poisson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

103833 Issued in CA

Practice address

3205 Ocean Park Blvd Ste 240
Santa Monica, CA 90405-3234

Phone

(424) 386-1612

NPI assigned

May 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527292800000",
    "number": "1922599869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3031",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902120031",
            "telephone_number": "612-386-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 OCEAN PARK BLVD STE 240",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053234",
            "telephone_number": "424-386-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POISSON",
        "first_name": "ANGELIQUE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PNC Podiatry of Southern California PC
• Lilliana PO-Garcia, NP
• Pogson Physical Therapy, Inc.
• Christopher V Pogson, MPT, OCS, FAAOMPT
• Katja D Pohl, PSY.D.
• Olga Polinovsky, D.D.S.
• Jodi Reeves Polk, D.C.
• Ashton Pollreisz, DOULA
• Anna Polumiskova
• Steve E Pomeroy

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2018; 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.