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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANGELICA FAMILY WELLNESS PC
NPI 1861308074
Psychologist - Clinical in Cleveland, TN

Active since August 19, 2026
2700 EXECUTIVE PARK NW STE A, CLEVELAND, TN 37312(951) 776-6752 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Angelica Family Wellness Pc NPPES

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

ANGELICA FAMILY WELLNESS PC (NPI 1861308074) is a healthcare organization registered as a clinical in Cleveland, Tennessee and active in the NPI registry since August 2026. The organization lists Angelica Soto, Directo, as its authorized official.

NPPES Registry Identity

NPI1861308074
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameANGELICA FAMILY WELLNESS PC
Location Address2700 EXECUTIVE PARK NW STE ACleveland, TN 37312-2770
Mailing Address9511 Silver Stone LnOoltewah, TN 37363-3008 · (951) 776-6752
Phone(951) 776-6752
Organization SubpartYes
Authorized OfficialAngelica SotoDirecto · (951) 776-6752
Enumeration DateAugust 19, 2026
Last NPPES UpdateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1861308074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2700 EXECUTIVE PARK NW STE A, Cleveland, TN 37312
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE FAST PHD
Psychologist
2700 EXECUTIVE PARK NW STE A
CLEVELAND, TN 37312
Bradley County (423) 436-1565
CREATIVE PSYCHOLOGICAL SERVICES, PLLC
Psychologist
2700 EXECUTIVE PARK NW STE A
CLEVELAND, TN 37312
Bradley County (540) 418-0105
NICOLE MICHELE HOFFMAN MILLER PSY.D.
Psychologist
2700 EXECUTIVE PARK NW STE A
CLEVELAND, TN 37312
Bradley County (540) 418-0105

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 Angelica Family Wellness PC's NPI number?

The NPI number for Angelica Family Wellness PC is 1861308074. It was assigned to this organization in the NPPES registry on August 19, 2026.

Where is Angelica Family Wellness PC located?

Angelica Family Wellness PC is located at 2700 Executive Park NW Ste A, Cleveland, TN 37312. The listed phone number is (951) 776-6752.

What is Angelica Family Wellness PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Angelica Family Wellness PC was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.