Richard K Sohn, PSY.D.
Individual provider Active NPI Clinical Psychologist · Plano, TX
NPI 1407972425 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1407972425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY 22299 (CA)
- Practice address
- 5700 Tennyson Pkwy Ste 300
Plano, TX 75024-3595 - Phone
- (213) 234-8268
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Psychology Care Associates PLLC
Practice addresses (Care Compare)
209 Travis St
Suite 102
Roanoke, TX 76262-8605
Phone (817) 437-4505
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091228000145 | CA | Practitioner - Psychologist Billing Independently | 5496895492 | Practice locations: Los Angeles, CA; Fullerton, CA |
| I20231114002222 | TX | Practitioner - Clinical Psychologist | 5496895492 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 22299 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Care Associates PLLC | Clinical | Current |
Accepting new patients |
| Cncbt Psychological Services, PLLC | Clinical | Current |
Accepting new patients |
| Sapozhnikov & Psychological Associates Inc | Clinical | Past | Accepting new patients |
Locations
209 Travis St
Ste 102
Roanoke, TX 76262
Phone (817) 437-4505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 22299 | CA | Yes |
Addresses
Primary practice location
5700 Tennyson Pkwy Ste 300
Plano, TX 75024-3595
Mailing address
1120 Knoll St
Aubrey, TX 76227-1810
Phone (213) 234-8268
Other practice location 1
3727 W 6th St Ste 502
Los Angeles, CA 90020-5110
Phone (213) 234-8268
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.