Active NPI
Sonia Lentz Milkin, PH.D.
- Psychologist
- San Rafael, CA
National Provider Identifier
1932497906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY30216
- Practice address
- 20 North San Pedro Road, Suite 2021
County Mhsus
San Rafael, CA 94903 - Phone
- (781) 793-4606
- NPI assigned
- Jul 12, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | PSY30216 | CA | Primary |
Addresses
Primary practice location
20 North San Pedro Road, Suite 2021
County Mhsus
San Rafael, CA 94903
Mailing address
720 Camino de la Reina Apt 114
San Diego, CA 92108-3271
Phone (781) 793-4606
Other practice location 1
720 Camino De La Reina Apt 114
San Diego, CA 92108-3271
Phone (781) 793-4606
Other names 1
- Sonia Anne Lentz
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30216 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1932497906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 CAMINO DE LA REINA APT 114",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083271",
"telephone_number": "781-793-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 NORTH SAN PEDRO ROAD, SUITE 2021",
"address_2": "COUNTY MHSUS",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "94903",
"telephone_number": "781-793-4606"
}
],
"practiceLocations": [
{
"address_1": "720 Camino De La Reina Apt 114",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921083271",
"country_code": "US",
"telephone_number": "781-793-4606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILKIN",
"first_name": "SONIA",
"middle_name": "LENTZ",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY30216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONIA",
"last_name": "LENTZ",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.