Sophia Joseph Parrilla, PHD, CLINICAL PSYCH

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

19-041-PSY Issued in VI

Practice address

5030 Anchor Way Ste 7
Christiansted, VI 00820-4692

Phone

(340) 719-7007

Fax

(340) 719-6655

NPI assigned

Jul 24, 2014

Last updated

Jan 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lindsy Wagner LLCGroup PAC ID 3476800574, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lindsy Wagner LLC

  dba Island Therapy Solutions

  • Clinical Social Worker
  • Christiansted, VI
  • NPI 1235402611
  Medicare reassignment Care Compare group NPD
• Prospect Hill Recovery and Wellness LLC

  • Substance Abuse Rehabilitation Facility
  • Frederiksted, VI
  • NPI 1336850726
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578787200000",
    "number": "1245648146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 ANCHOR WAY STE 7",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204692",
            "telephone_number": "340-719-7007",
            "fax_number": "340-719-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 ANCHOR WAY STE 7",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204692",
            "telephone_number": "340-719-7007",
            "fax_number": "340-719-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "RR1 Box 10515",
            "address_purpose": "LOCATION",
            "city": "Kingshill",
            "state": "VI",
            "postal_code": "008509801",
            "country_code": "US",
            "telephone_number": "340-719-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRILLA",
        "first_name": "SOPHIA",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHD, CLINICAL PSYCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VI",
            "license": "19-041-PSY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthocaribbean PC
• Gemaine Diane Owen, MD
• Moyosoreoluwa Adesoji Oyebolu, DMD
• Pain Medicine VI, PLLC
• Jong Hwa Park, MD
• Camille Marise Paul, PA-C
• McKenna Peck
• Pediatric Care Center LLC
• Pediatrice Center for Developmental Excellence, LLC (Pediatric Building Blocks)
• John Charles Perez, MD

• Clinical Psychologist in Christiansted, VI
• Providers in Christiansted, VI by specialty
• Clinical Psychologist in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.