Soleil Psychological, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SOLEIL PSYCHOLOGICAL, LLC

Practice address

670 Superior CT Ste 110
Medford, OR 97504-6179

Phone

(541) 944-3938

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Boyd David Sherbourne, PSY.D.NPI 1144463845

Title

Clinical Psychologist

Phone

(541) 944-3938

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Boyd David Sherbourne, PSY.D.

  • Clinical Psychologist
  • Medford, OR
  • NPI 1144463845
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1245691328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 SUPERIOR CT STE 110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046179",
            "telephone_number": "541-944-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 SUPERIOR CT STE 110",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046179",
            "telephone_number": "541-944-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEIL PSYCHOLOGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "SHERBOURNE",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "541-944-3938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lawrance Soderstrom
• Marie Pascale Soderstrom, M.S.,SLP
• Dominik Grzegorz Sokalski, M.D.
• Justina Sokolovas, PHARMD
• Katharine L Soldan
• Jayrus Francis Simbulan Soliman, M.D.
• Scedena T Soliz, BS
• Albert Edward Solochier, R.N., B.S.N.
• Amy Solometo, TSPC SCHOOL PSYCHOLO
• Jeffrey Alan Solomon, D.O.

• Clinical Psychologist in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.