Soul in Mind Psychological Services Inc

Key facts

NPI

1669231908

Entity type

Organization (NPI type 2)

Primary specialty

Clinical Psychologist 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

Organization subpart

No

Authorized official

Name

Dr. Jennifer Sandoval, PHD NPI 1912377953

Title

Ceo

Phone

(857) 217-1141

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer M Sandoval, PHD Clinical Psychologist · Hemet, CA · NPI 1912377953
  NPD Authorized official ADULT DEVELOPMENT & AGING

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 18, 2024.

{
    "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": []
}

Other providers in Hemet, CA

• 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
• Southern California Permanente Medical Group
• Southern Coast Psych Medical Associates PC

All providers in Hemet, CA · Clinical Psychologist in California