SOPHIA CAVALCANTI DE ALBUQUERQUE SERPA (NPI# 1790348712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790348712 |
Entity Type | Individual |
Full Name | SOPHIA CAVALCANTI DE ALBUQUERQUE SERPA |
Other Name | SOPHIA SERPA |
Credential | PSY.D. |
Practice Address |
7601 Imperial Hwy # 2049 Downey CA 90242-3456 |
Practice Telephone | 5623858181 |
Mailing Telephone | 5623858181 |
Enumeration Date | 2019-04-16 |
Last Update Date | 2019-04-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PSY30623 | CA | Behavioral Health & Social Service Providers |
N | 103TH0004X |
Psychologist Specialization: Health |
PSY30623 | CA | Behavioral Health & Social Service Providers |
Street Address |
7601 IMPERIAL HWY # 2049 |
City | DOWNEY |
State | CA |
Zip Code | 90242-3456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972117182 | Andy Vo Osborne | Respiratory Therapist, Registered | 9333 E Imperial High Way, Downey, CA 90242 | 2020-09-04 |
1639783459 | Enrique Robles Soto | Behavior Technician | 12432 Bellflower Blvd., Downey, CA 90242 | 2020-08-31 |
1043842461 | Paul Yokoyama | Pharmacist | 9542 Dalen Street, Downey, CA 90242 | 2020-02-05 |
1639727837 | Demontay Deon High | Behavior Technician | 12342 Bellflower Blvd, Downey, CA 90242 | 2019-08-30 |
1467922328 | Nurisha Ficklin | Behavior Technician | 12342 Bellflower Blvd., Downey, CA 90242 | 2018-12-04 |
1235622358 | Marlene Castaneda | Occupational Therapist | 12555 Lakewood Blvd Ste D, Downey, CA 90242 | 2018-06-13 |
1942727383 | Arhtur Lozano | Non-emergency Medical Transport (VAN) | 13109 Woodruff Ave, Downey, CA 90242 | 2017-08-26 |
1336665983 | Laura E Del Val | Nurse Practitioner | 12207 Rives Ave, Downey, CA 90242 | 2017-08-16 |
1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
1265955504 | Julie Helgren | Recreation Therapist | 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 | 2017-07-19 |
Find all providers in zip 90242 |
Taxonomy Code | 103TR0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780061507 | Frank Howe | Psychologist | 167 North 4th East, Downey, ID 83234-0282 | 2015-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881231116 | Center for Rehabilitation Psychology and Neuropsychology, PC | Psychologist | 251 King Dr, Walnut Creek, CA 94595-1516 | 2019-12-05 |
1346885878 | Edna M Osorio Lopez | Psychologist | 926 W Philadelphia St Unit 84, Ontario, CA 91762-6240 | 2019-11-07 |
1508230541 | David Reynoso | Psychologist | 5175 Flora St, Montclair, CA 91763-3865 | 2015-11-13 |
1164803136 | Neuro-rehab Psychological Consultation & Treatment Services, Inc. | Psychologist | 65 N. Madison Ave #709, Pasadena, CA 91101 | 2015-06-15 |
1346687605 | John Terrance Hackett | Psychologist | 9226 Hinton Ave, Delhi, CA 95315-8200 | 2013-05-28 |
1982965091 | Consuelo Flores | Psychologist | 454 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2012-06-05 |
1245544287 | Cari Freeman | Psychologist | 3120 Cohasset Rd Ste 6, Valley Oak Children's Services, Chico, CA 95973-0978 | 2010-08-02 |
1477790319 | Natalie Olivia Orosco | Psychologist | 15835 Avenida Venusto, Apt 426, San Diego, CA 92128-3318 | 2009-01-14 |
1376794560 | Jwch Institute, Inc. | Psychologist | 521 S. San Pedro Street, Los Angeles, CA 90013-2148 | 2008-10-06 |
1346418670 | Marilyn Susan Martinez | Psychologist | 2737 W, Cecil Ave., Delano, CA 93215 | 2008-02-20 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.