Dr. Sophy Counseling & Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR. SOPHY COUNSELING & PSYCHOLOGICAL SERVICES

Practice address

4601 Spicewood Springs Rd Ste 200
Austin, TX 78759-8598

Phone

(512) 467-1376

Fax

(512) 467-8658

NPI assigned

Dec 30, 2020

Last updated

Feb 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sallie A Boulos-Sophy, PHDNPI 1194150235

Title

Psychologist

Phone

(512) 757-2641

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sophy Counseling & Psychological Services Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sallie Ann Boulos-Sophy, PHD

  • Psychologist
  • Austin, TX
  • NPI 1194150235
  Authorized official Same address or phone

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1043807506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11604 SANTA ELENA LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175077",
            "telephone_number": "512-757-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 SPICEWOOD SPRINGS RD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598598",
            "telephone_number": "512-467-1376",
            "fax_number": "512-467-8658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11604 Santa Elena Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787175077",
            "country_code": "US",
            "telephone_number": "512-757-2641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. SOPHY COUNSELING & PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "BOULOS-SOPHY",
        "authorized_official_first_name": "SALLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-757-2641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Sophy Counseling & Psychological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Dr. Sophy Counseling & Psychological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.