Active NPI
Sonia Maria Medina, PH.D.
- Clinical Psychologist
- Ocala, FL
National Provider Identifier
1538501952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY10650
- Practice address
- 3235 SW 34TH St Ste 101
Ocala, FL 34474-7502 - Phone
- (352) 431-3940
- Fax
- (352) 431-3173
- NPI assigned
- Jul 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 005177 | PR | |
| Clinical Psychologist | 103TC0700X | PY10650 | FL | Primary |
Addresses
Primary practice location
3235 SW 34TH St Ste 101
Ocala, FL 34474-7502
Mailing address
3235 SW 34TH St Ste 101
Ocala, FL 34474-7502
Phone (352) 431-3940
Other practice location 1
912 NW 57th St Ste B
Gainesville, FL 32605-6425
Phone (352) 431-3940
Other practice location 2
PR-4491 Km 2.6
Building Plaza Camuy
Camuy, PR 00627
Phone (787) 427-4722
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10650 | FL | MD | Clinical Psychologist |
| 005177 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1538501952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 SW 34TH ST STE 101",
"city": "OCALA",
"state": "FL",
"postal_code": "344747502",
"telephone_number": "352-431-3940",
"fax_number": "352-431-3173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 SW 34TH ST STE 101",
"city": "OCALA",
"state": "FL",
"postal_code": "344747502",
"telephone_number": "352-431-3940",
"fax_number": "352-431-3173"
}
],
"practiceLocations": [
{
"address_1": "912 NW 57th St Ste B",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326056425",
"country_code": "US",
"telephone_number": "352-431-3940",
"fax_number": "352-431-3173",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "PR-4491 Km 2.6",
"address_2": "Building Plaza Camuy",
"address_purpose": "LOCATION",
"city": "Camuy",
"state": "PR",
"postal_code": "00627",
"country_code": "US",
"telephone_number": "787-427-4722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA",
"first_name": "SONIA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "005177",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.