| Sofie Phd Psychology Co | |
|
3505 Camino Del Rio S Ste 212 San Diego CA 92108-4016 | |
| (619) 722-5797 | |
| Not Available |
| Full Name | Sofie Phd Psychology Co |
|---|---|
| Speciality | Psychologist |
| Location | 3505 Camino Del Rio S Ste 212, San Diego, California |
| Authorized Official Name and Position | Sofie Ling Champassak (OWNER) |
| Authorized Official Contact | 6197225797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sofie Phd Psychology Co Po Box 26331 San Diego CA 92196-0331 Ph: (619) 722-5797 | Sofie Phd Psychology Co 3505 Camino Del Rio S Ste 212 San Diego CA 92108-4016 Ph: (619) 722-5797 |
| NPI Number | 1518587526 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Medicare PECOS PAC ID | 3779904545 |
|---|---|
| Medicare Enrollment ID | O20200603000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518587526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sofie Ling Champassak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114405305 PECOS PAC ID: 6002158680 Enrollment ID: I20190507003192 |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
The Center For Behavior Change, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7676 Hazard Center Dr Ste 500, San Diego, CA 92108 Phone: 619-876-8261 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
Alba Community School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Oregon St, San Diego, CA 92104 Phone: 619-521-5720 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Adapt Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6070 Mission Gorge Rd, San Diego, CA 92120 Phone: 619-957-0888 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 |