Sacred Soul Psychology Inc

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

SACRED SOUL PSYCHOLOGY INC

Practice address

4362 Village Loop
Santa Fe, NM 87507-1833

Phone

(707) 318-4470

Fax

(707) 637-8313

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Joan Rahima Schmall, PHD

Title

Owner

Phone

(707) 318-4470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Rahima Joan Schmall, PH.D.

  • Clinical Psychologist
  • Saint Helena, CA
  • NPI 1619991130

  NM

  Medicare reassignment NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1417564568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 VILLAGE LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875071833",
            "telephone_number": "707-318-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 VILLAGE LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875071833",
            "telephone_number": "707-318-4470",
            "fax_number": "707-637-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SOUL PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "SCHMALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JOAN RAHIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-318-4470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosaline Ryder
• Hope Watts Rydquist
• S Sean Hamashige O D (Buena Vista Eye Care)
• Denise Saccone, LISW
• Ann Sacks, OT
• Sacred Transitions NM LLC
• Sacred Transitions, Inc.
• Rocio Saenz-Dominguez
• Ahmad Safi
• Claudia Safian

• Counseling Psychologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Counseling Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.