Active NPI
Gina Rivera Sokolich
- Psychiatry Physician
- Ballwin, MO
National Provider Identifier
1831738574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0000000000
- Practice address
- 930 Kehrs Mill Rd Ste 325-13
Ballwin, MO 63011-2403 - Phone
- (314) 775-1623
- NPI assigned
- Dec 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0000000000 | MO | Primary |
Addresses
Primary practice location
930 Kehrs Mill Rd Ste 325-13
Ballwin, MO 63011-2403
Mailing address
930 Kehrs Mill Rd
Ballwin, MO 63011-2462
Phone (314) 775-1623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6624 | Other | MO | PRIVATE PAY |
Other names 1
- Gina Sokolich
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ballwin | ||
| CONNECT URL | Ballwin | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000000 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577491200000",
"number": "1831738574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 KEHRS MILL RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112462",
"telephone_number": "314-775-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 KEHRS MILL RD STE 325-13",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112403",
"telephone_number": "314-775-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOKOLICH",
"first_name": "GINA",
"middle_name": "RIVERA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-28",
"last_updated": "2019-12-28",
"certification_date": "2019-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "0000000000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE PAY",
"identifier": "6624",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ballwin",
"affiliation": "N",
"address_1": "930 Kehrs Mill Rd Ste 325-13",
"city": "Ballwin",
"state": "MO",
"country_code": "US",
"postal_code": "630112403",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ballwin",
"affiliation": "N",
"endpointDescription": "Business",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "930 Kehrs Mill Rd Ste 325-13",
"city": "Ballwin",
"state": "MO",
"country_code": "US",
"postal_code": "630112403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GINA",
"last_name": "SOKOLICH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.