Sophia Nora Jalil

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

5080 N Fruit Ave Ste 102
Fresno, CA 93711-3062

Phone

(559) 493-5609

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Nucleus Behavioral Psychology Corp

  • Psychologist
  • Fresno, CA
  • NPI 1982374484
  NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1821832528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 N FRUIT AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 N FRUIT AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113062",
            "telephone_number": "559-493-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALIL",
        "first_name": "SOPHIA",
        "middle_name": "NORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikrum Jain, MD
• Sridivya Jaini, M.D.
• Jairo H Molta DDS.Inc.
• Prahalad B Jajodia, MD
• Auzadeh Hadiss Jalali, PHARMD
• David Jalomo
• James Eisenberg MD Inc
• James Kieffer MD Inc
• James R Gordon DDS
• Anna Maria James

• Clinical Child & Adolescent Psychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.