Individual provider Active NPI

Sohyila Davani, PSY.D.

  • Clinical Psychologist
  • Emeryville, CA
National Provider Identifier
1003936154
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 25722 Issued in CA
Practice address
1585 62ND St # 8374
Emeryville, CA 94608-2039
Phone
(510) 830-6700
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 25722 CA Primary

Addresses

Primary practice location

1585 62ND St # 8374
Emeryville, CA 94608-2039

Mailing address

1585 62ND St # 8374
Emeryville, CA 94608-2039
Phone (510) 830-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140313000989 CA Practitioner - Clinical Psychologist 6305076365 Practice locations: Emeryville, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Emeryville, CA 94608
Phone (510) 830-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 25722CAMDClinical Psychologist
25722CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Multilingual Counseling Center Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1003936154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 62ND ST # 8374",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082039",
            "telephone_number": "510-830-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 62ND ST # 8374",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082039",
            "telephone_number": "510-830-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVANI",
        "first_name": "SOHYILA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 25722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.