Organization Active NPI

Dr Sylvia Ana Soto, PC

  • Family Psychologist
  • San Angelo, TX
National Provider Identifier
1710912746
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
31147 Issued in TX
Legal business name
DR SYLVIA ANA SOTO, PC
Practice address
411 W Concho Ave
San Angelo, TX 76903-6310
Phone
(325) 486-9468
Fax
(325) 653-6422
NPI assigned
Jul 11, 2006
Last updated
Aug 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Sylvia Ana Soto, PHDNPI 1184679763
Title
Owner
Phone
(325) 486-9468

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 31147 TX Primary

Addresses

Primary practice location

411 W Concho Ave
San Angelo, TX 76903-6310

Mailing address

411 W Concho Ave
San Angelo, TX 76903-6310
Phone (325) 486-9468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061011000170 TX Part B Supplier - Clinic/Group Practice 5294731451 Receives reassigned benefits from 1 practitioner
Practice locations: San Angelo, TX

National Provider Directory

National Provider Directory

Locations

411 W Concho Ave
San Angelo, TX 76903
Phone (325) 486-9468

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1710912746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W CONCHO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036310",
            "telephone_number": "325-486-9468",
            "fax_number": "325-653-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W CONCHO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036310",
            "telephone_number": "325-486-9468",
            "fax_number": "325-653-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SYLVIA ANA SOTO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "ANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-486-9468",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "TX",
            "license": "31147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.