MS. ANGELICA DIANE SOTO PSYD
NPI 1881951358
Psychologist in Ooltewah, TN

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment
9511 SILVER STONE LN, OOLTEWAH, TN 37363(951) 776-6752 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2021, May 12, 2021, Jul 17, 2018 (3 updates tracked since 2018).

About Ms. Angelica Diane Soto Psyd NPPES

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

MS. ANGELICA DIANE SOTO PSYD (NPI 1881951358) is an individual psychologist in Ooltewah, Tennessee, licensed in California (32674) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1881951358
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. ANGELICA DIANE SOTOCredential: PSYD
Location Address9511 SILVER STONE LNOoltewah, TN 37363-3008
Mailing Address9511 Silver Stone LnOoltewah, TN 37363-3008 · (951) 776-6752
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 20, 2012
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
NPI 1881951358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CA · 32674 Licensed in TX · 40091 Licensed in TN · 4209
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
9511 SILVER STONE LN, Ooltewah, TN 37363

Secondary Practice Locations 2

Location 16809 Indiana AveRiverside, CA 92506-4221 · Phone (951) 776-6752
Location 22700 Executive Park NWCleveland, TN 37312-2770 · Phone (951) 776-6752

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Angelica Diane Soto Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072902972
PECOS Enrollment IDI20211115003030
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

The NPI number assigned to this healthcare provider is 1881951358, enumerated as an "individual" on April 20, 2012.

The provider is located at 9511 SILVER STONE LN OOLTEWAH, TN 37363 and the phone number is (951) 776-6752.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and. Please consult your insurance carrier or call the provider to verify.