Sofia Michelle Chernoff, PSYD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PS019684 Issued in PA

Practice address

1 Belmont Ave Ste 503
Bala Cynwyd, PA 19004-1608

Phone

(610) 664-3020

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foundation of Cognitive Therapy and Research

  dba Beck Institute for Cognitive Behavior Therapy

  • Clinical Psychologist
  • Bala Cynwyd, PA
  • NPI 1124004007
  NPD Authorized official
• Brian J Taracena PSYD PC

  • Clinical Psychologist
  • Heber City, UT
  • NPI 1427123082
  NPD (past)

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1881103257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE STE 503",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041608",
            "telephone_number": "610-664-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE STE 503",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041608",
            "telephone_number": "610-664-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNOFF",
        "first_name": "SOFIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "UT",
            "license": "10460712-2501",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS019684",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "10460712-2501",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "UT",
            "license": "10460712-2501",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "10460712-2501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Chan
• Mason Jung Chan, PHARMD
• Change Point Behavioral Health LLC
• Gordana Chelsvig, R.D., LDN
• Albert Cheng
• Raynard J Cheung, M.D.
• Child & Family Resiliency Project
• Shelley Chow
• Tasnia Chowdhury, LBS
• Christine Angela Chung, M.D.

• Cognitive & Behavioral Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Cognitive & Behavioral Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.