Active NPI
Effua Erica Sosoo, PHD
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1396469557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6218
- Practice address
- 3040 Hammond Business PL
Raleigh, NC 27603-3666 - Phone
- (919) 899-6259
- NPI assigned
- Sep 30, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 103476 | NC | |
| Health Service Psychologist | 103TH0100X | 6218 | NC | |
| Clinical Psychologist | 103TC0700X | 6218 | NC | Primary |
Addresses
Primary practice location
3040 Hammond Business PL
Raleigh, NC 27603-3666
Mailing address
3040 Hammond Business PL
Raleigh, NC 27603-3666
Phone (919) 899-6259
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103476 | NC | MD | Psychologist |
| 6218 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1396469557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 HAMMOND BUSINESS PL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033666",
"telephone_number": "919-899-6259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 HAMMOND BUSINESS PL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033666",
"telephone_number": "919-899-6259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSOO",
"first_name": "EFFUA",
"middle_name": "ERICA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "103476",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NC",
"license": "6218",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "6218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.