Sophia Whitehouse

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SP.00661 Issued in OH

Practice address

6325 Mohican Dr
Powell, OH 43065-8711

Phone

(440) 479-6398

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Achieve Psychological and Academic Services LLC

  • School Psychologist
  • Powell, OH
  • NPI 1780286179
  NPD Authorized official

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1083160998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 MOHICAN DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658711",
            "telephone_number": "440-479-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 MOHICAN DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658711",
            "telephone_number": "440-479-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHOUSE",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH3175653",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP.00661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083160998",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sophia.whitehouse@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Gmail",
            "address_1": "6325 Mohican Dr",
            "city": "Powell",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430658711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Phyllis Wells, OD
• Julie Weng, PT
• Alyssa Wenger
• Jill Westbrook, PHARMD
• Gregory M Whisman, MD
• Damon M Whitfield, D.O.
• Laura Geruntino Widdows, DPT
• Enzo F Wielezynski
• Aubrey M Wilbur, PT
• Lisa Michelle Wilhelm-Olsen, P.T.

• School Psychologist in Powell, OH
• Providers in Powell, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.