Soma Psych Family Therapy, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOMA PSYCH FAMILY THERAPY, INC.

Practice address

2021 Sperry Ave Ste 20
Ventura, CA 93003-7446

Phone

(760) 459-9790

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Martena Rachel WilsonNPI 1164073680

Title

Chief Executive Officer (Ceo)

Phone

(760) 459-9790

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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.

• Martena Rachel Wilson

  • Marriage & Family Therapist
  • Santa Maria, CA
  • NPI 1164073680

  AR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1437860236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PONIU CIR",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932906",
            "telephone_number": "760-459-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SPERRY AVE STE 20",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037446",
            "telephone_number": "760-459-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA PSYCH FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARTENA",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
        "authorized_official_telephone_number": "760-459-9790"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ari Solomon
• Sandra Solorio
• Bianca Solovyev
• Omeed Soltanalipouryekesamak, DDS
• Pedro Ivan Soltero
• Soma Psych Foundation Center Inc
• Celia Sommer
• Vita Sondors
• Daniel Joseph Sones, D.D.S.
• Rashida A Soni, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ventura, CA
• Providers in Ventura, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.