Active NPI
Sonia Mann, PH.D.
- Clinical Psychologist
- Folsom, CA
National Provider Identifier
1760730204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30524
- Practice address
- 705 Gold Lake Dr Ste 205
Folsom, CA 95630-2535 - Phone
- (916) 665-0178
- NPI assigned
- Aug 15, 2012
- Last updated
- Jun 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30524 | CA | Primary |
Addresses
Primary practice location
705 Gold Lake Dr Ste 205
Folsom, CA 95630-2535
Mailing address
3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956
Other practice location 1
1207 Fairchild Ct
Woodland, CA 95695-4321
Phone (530) 668-2600
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1760730204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"address_2": "ATTN: CREDENTIALING/PAYER ENROLLMENT",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 GOLD LAKE DR STE 205",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956302535",
"telephone_number": "916-665-0178"
}
],
"practiceLocations": [
{
"address_1": "1207 Fairchild Ct",
"address_purpose": "LOCATION",
"city": "Woodland",
"state": "CA",
"postal_code": "956954321",
"country_code": "US",
"telephone_number": "530-668-2600",
"fax_number": "530-669-5695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "SONIA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.