Individual provider Active NPI

Soheila Hosseini, PHD

  • Clinical Psychologist
  • Santa Monica, CA
National Provider Identifier
1114391935
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29987 Issued in CA
Practice address
127 Broadway Ste 200
Santa Monica, CA 90401-2330
Phone
(310) 857-4946
Fax
(310) 601-5193
NPI assigned
Nov 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY29987 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY29987 CA
Clinical Psychologist 103TC0700X PSY29987 CA Primary

Addresses

Primary practice location

127 Broadway Ste 200
Santa Monica, CA 90401-2330

Mailing address

127 Broadway Ste 200
Santa Monica, CA 90401-2330
Phone (310) 857-4946

Other practice location 1

520 S Sepulveda Blvd Ste 406
Los Angeles, CA 90049-3547
Phone (310) 857-4946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY29987CAMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Therapy Institute Psychologist CurrentSince Nov 17, 2024 Accepting new patients
California Psychology Clinics, PC Clinical CurrentSince Nov 17, 2024 Accepting new patients
TMS Clinics of California PC Current Accepting new patients

Locations

333 S Beverly Dr
Ste 215
Beverly Hills, CA 90212

520 S Sepulveda Blvd
Ste 406
Los Angeles, CA 90049
Phone (310) 721-9886

1310 W Stewart Dr
Ste 301
Orange, CA 92868
Phone (714) 712-0711

127 Broadway
Ste 200
Santa Monica, CA 90401
Phone (310) 857-4946

127 Broadway
Ste 204
Santa Monica, CA 90401

3301 Ocean Park Blvd
Ste 107
Santa Monica, CA 90405
Phone (310) 857-4946

Organizations & group practices 3

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1114391935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BROADWAY STE 200",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012330",
            "telephone_number": "310-857-4946",
            "fax_number": "310-601-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BROADWAY STE 200",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012330",
            "telephone_number": "310-857-4946",
            "fax_number": "310-601-5193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S Sepulveda Blvd Ste 406",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900493547",
            "country_code": "US",
            "telephone_number": "310-857-4946",
            "fax_number": "310-601-5193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSSEINI",
        "first_name": "SOHEILA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY29987",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY29987",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.