Active NPI
Sonja Sepkowitz, PSYD
- Clinical Psychologist
- Media, PA
National Provider Identifier
1194551721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS020263
- Practice address
- 107 Chesley Dr Ste 2
Media, PA 19063-1760 - Phone
- (856) 412-3311
- NPI assigned
- Sep 10, 2024
- Last updated
- Sep 10, 2024
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS020263 | PA | Primary |
Addresses
Primary practice location
107 Chesley Dr Ste 2
Media, PA 19063-1760
Mailing address
2347 Carpenter St Apt B
Philadelphia, PA 19146-2563
Phone (646) 763-1031
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS020263 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1194551721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2347 CARPENTER ST APT B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191462563",
"telephone_number": "646-763-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHESLEY DR STE 2",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631760",
"telephone_number": "856-412-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPKOWITZ",
"first_name": "SONJA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS020263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.