DR. ANGIE SUSANA PELLETIER-JUAREZ PSYD
NPI 1275883084
Psychologist in Northridge, CA

Active since September 19, 2012PECOS Enrolled
17401 VINTAGE ST, NORTHRIDGE, CA 91325(323) 559-2836 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Angie Susana Pelletier-juarez Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANGIE SUSANA PELLETIER-JUAREZ PSYD (NPI 1275883084) is an individual psychologist in Northridge, California, licensed in California (34099) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275883084
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ANGIE SUSANA PELLETIER-JUAREZCredential: PSYD
Location Address17401 VINTAGE STNorthridge, CA 91325-1538
Mailing Address17401 Vintage StNorthridge, CA 91325-1538 · (323) 559-2836
Sole ProprietorYes
Enumeration DateSeptember 19, 2012
Last NPPES UpdateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
NPI 1275883084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 34099
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
17401 VINTAGE ST, Northridge, CA 91325

Other Names 1

Former Name (1)Angie Susana Juarez

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Angie Susana Pelletier-juarez Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angie Pelletier-juarez's NPI number?

The NPI number for Angie Pelletier-juarez is 1275883084. It was assigned to this individual provider in the NPPES registry on September 19, 2012. The provider is also known as Angie Susana Juarez.

Where is Angie Pelletier-juarez located?

Angie Pelletier-juarez practices at 17401 Vintage St, Northridge, CA 91325. The listed phone number is (323) 559-2836.

What is Angie Pelletier-juarez's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Angie Pelletier-juarez enrolled in Medicare?

Yes. Angie Pelletier-juarez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angie Pelletier-juarez was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.