Soul in Mind Psychological Services Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SOUL IN MIND PSYCHOLOGICAL SERVICES INC

Practice address

26266 Meridian St
Hemet, CA 92544-6486

Phone

(951) 585-0397

Fax

(951) 795-4560

NPI assigned

Mar 18, 2024

Last updated

Mar 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Sandoval, PHDNPI 1912377953

Title

Ceo

Phone

(857) 217-1141

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer M Sandoval, PHD

  • Clinical Psychologist
  • Hemet, CA
  • NPI 1912377953

  Adult Development & Aging

  NPD Authorized official

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1669231908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26266 MERIDIAN ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925446486",
            "telephone_number": "951-585-0397",
            "fax_number": "951-795-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26266 MERIDIAN ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925446486",
            "telephone_number": "951-585-0397",
            "fax_number": "951-795-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL IN MIND PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-217-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Psychoanalysis",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Vinicio Sosa Ramirez
• Teresa Soto Ordonez
• Kevin Alexander Soto
• Stephanie Soto
• Eugenie Souisa
• Soul in Mind Psychological Services, SBC
• Christine Sousa, P.N.P.
• Southern California Emergency Medicine (Hemet Urgent Care Center)
• Southern California Permanente Medical Group
• Southern Coast Psych Medical Associates PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.