Krista Nicole Poulsen-Soria, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20116 Issued in CA

Practice address

54 Penny LN
Suite B
Watsonville, CA 95076-6012

Phone

(831) 728-2040

Fax

(831) 728-2040

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1497876890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PENNY LN",
            "address_2": "SUITE B",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766012",
            "telephone_number": "831-728-2040",
            "fax_number": "831-728-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PENNY LN",
            "address_2": "SUITE B",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766012",
            "telephone_number": "831-728-2040",
            "fax_number": "831-728-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULSEN-SORIA",
        "first_name": "KRISTA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20116",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PSY20116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plazita Medical Clinic, Inc.
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• Lizette Ponce
• Patricia Ponce
• Alicia Catherine Potes, PA-C
• Rajeev Prasad, M.D.
• Stacey Pratt
• Aileen Preciado
• Premise Health of California Medical PC
• Sophia Preston

• Clinical Psychologist in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.