Deana Soto Vides

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

LEP3027 Issued in CA

Practice address

2021 Ygnacio Valley Rd Ste C202
Walnut Creek, CA 94598-3392

Phone

(707) 646-1230

NPI assigned

Oct 7, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1306561790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 OAKSTONE WAY",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031456",
            "telephone_number": "707-246-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY RD STE C202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983392",
            "telephone_number": "707-646-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDES",
        "first_name": "DEANA",
        "middle_name": "SOTO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP3027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deana.vides@spgtherapy.com",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "deana.vides@spgtherapy.com",
            "address_1": "2021 Ygnacio Valley Rd Ste C202",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945983392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicolina Via
• Tracie Vickers, M.S.
• Victoria Rutsch, a Professional Marriage and Family Therapy Corp., Inc
• Micaela Maria Vicuna, MA
• Iris Vidal
• Anissa Faith Vidrio
• Katharine Elisheva Vieira, RN, NP, MS
• Julieta Vieyra-Melchor
• Ernesto Daniel Vigil, PHARM.D
• Viktoriya Sharp MD a Professional Corporation

• School Psychologist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.