Individual provider Active NPI

Suzanne Corgiat, MA IN PSYCHOLOGY

  • Psychologist
  • Sonora, CA
National Provider Identifier
1639919673
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
103 S Forest Rd
Sonora, CA 95370-4895
Phone
(209) 533-1699
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X CA Primary

Addresses

Primary practice location

103 S Forest Rd
Sonora, CA 95370-4895

Mailing address

27990 Yosemite Springs Pkwy
Coarsegold, CA 93614-9238
Phone (205) 639-9192

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Woods Creek Psychological Group, Apc Psychologist CurrentSince Jun 2, 2024 Accepting new patients

Locations

103 S Forest Rd
Sonora, CA 95370
Phone (209) 532-7005

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1639919673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27990 YOSEMITE SPRINGS PKWY",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936149238",
            "telephone_number": "205-639-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S FOREST RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704895",
            "telephone_number": "209-533-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORGIAT",
        "first_name": "SUZANNE",
        "credential": "MA IN PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.