Active NPI
Sora Kang, M.A., PSYD, C.E.A.P.
- Psychologist
- Mountain View, CA
National Provider Identifier
1194152371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY19033
- Practice address
- 1503 Grant Rd Ste 120
Mountain View, CA 94040-3293 - Phone
- (810) 423-2834
- NPI assigned
- Oct 2, 2013
- Last updated
- Sep 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY19033 | CA | Primary |
Addresses
Primary practice location
1503 Grant Rd Ste 120
Mountain View, CA 94040-3293
Mailing address
PO Box 7703
Menlo Park, CA 94026-7703
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19033 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569024000000",
"number": "1194152371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7703",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940267703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 GRANT RD STE 120",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940403293",
"telephone_number": "810-423-2834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "SORA",
"name_prefix": "Dr.",
"credential": "M.A., PSYD, C.E.A.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2019-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY19033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.