Individual provider Active NPI

Sonia Herten-Greaven, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Calabasas, CA
National Provider Identifier
1568525467
Registry record updated Sep 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY20962 Issued in CA
Practice address
23632 Calabasas Rd Ste 202
Calabasas, CA 91302-1737
Phone
(818) 797-4653
NPI assigned
Dec 19, 2006
Last updated
Sep 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY20962 CA
Clinical Psychologist 103TC0700X PSY20962 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY20962 CA Primary

Addresses

Primary practice location

23632 Calabasas Rd Ste 202
Calabasas, CA 91302-1737

Mailing address

23632 Calabasas Rd Ste 202
Calabasas, CA 91302-1737
Phone (818) 797-4653

Other names 1

  • Dr. Sonia Greaven Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 31, 2024 through Jan 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY20962CAMDPsychologist
20962CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovate Psychology Inc Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506729600000",
    "number": "1568525467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23632 CALABASAS RD STE 202",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021737",
            "telephone_number": "818-797-4653",
            "fax_number": "747-226-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23632 CALABASAS RD STE 202",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021737",
            "telephone_number": "818-797-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTEN-GREAVEN",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2017-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20962",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20962",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY20962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "GREAVEN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.