Active NPI
Aleksandra Stepanenko Soykin, PH.D.
- Psychologist
- San Bruno, CA
National Provider Identifier
1225317449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 27597
- Practice address
- 801 Traeger Ave FL 2
San Bruno, CA 94066-3045 - Phone
- (650) 742-7242
- NPI assigned
- Aug 4, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 27597 | CA | Primary |
Addresses
Primary practice location
801 Traeger Ave FL 2
San Bruno, CA 94066-3045
Mailing address
801 Traeger Ave FL 2
San Bruno, CA 94066-3045
Phone (650) 742-7242
Other names 1
- Aleksandra Stepanenko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27597 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1225317449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 TRAEGER AVE FL 2",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663045",
"telephone_number": "650-742-7242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 TRAEGER AVE FL 2",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663045",
"telephone_number": "650-742-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOYKIN",
"first_name": "ALEKSANDRA",
"middle_name": "STEPANENKO",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "27597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEKSANDRA",
"last_name": "STEPANENKO",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.