Individual provider Active NPI

Sonia Amarylis Jimenez, PSYD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1609638436
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
028390 Issued in NY
Practice address
418 E 71St St FL 4
New York, NY 10021-4892
Phone
(212) 535-8932
NPI assigned
Jan 26, 2024
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 68-P126684-01 NY
Clinical Psychologist 103TC0700X 028390 NY Primary

Addresses

Primary practice location

418 E 71St St FL 4
New York, NY 10021-4892

Mailing address

418 E 71St St FL 4
New York, NY 10021-4892
Phone (212) 535-8932

Other practice location 1

750 Tilden St
Bronx, NY 10467-6013
Phone (718) 655-3503

Other practice location 2

445 Park Ave Fl 9
New York, NY 10022-8606
Phone (212) 307-4002

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68-P126684-01NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cognition and Communication PastSince Jan 17, 2022 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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1609638436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E 71ST ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214892",
            "telephone_number": "212-535-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E 71ST ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214892",
            "telephone_number": "212-535-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Tilden St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104676013",
            "country_code": "US",
            "telephone_number": "718-655-3503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Park Ave Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100228606",
            "country_code": "US",
            "telephone_number": "212-307-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "SONIA",
        "middle_name": "AMARYLIS",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "68-P126684-01",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "028390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.