Betty Castro Sotomayor, LMFT LICENSE #93809

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

93809 Issued in CA

Practice address

23236 Lyons Ave
Suite 212
Santa Clarita, CA 91321-2635

Phone

(661) 347-6886

NPI assigned

Sep 30, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Yadhira Berenice Castro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1932502333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 AVENUE TIBBITTS",
            "address_2": "SUITE 208",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-347-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23236 LYONS AVE",
            "address_2": "SUITE 212",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212635",
            "telephone_number": "661-347-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOMAYOR",
        "first_name": "BETTY",
        "middle_name": "CASTRO",
        "credential": "LMFT LICENSE #93809",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF66772",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "93809",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YADHIRA",
            "last_name": "CASTRO",
            "middle_name": "BERENICE",
            "credential": "LMFT LICENSE #93809",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Willa J Song, MD
• Young Song, PHARM.D
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• Michelle Grace Soriano, NP-C
• Manuel Paul Soto, M.A.
• Michael A Soucy, MFT
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• Southern California Permanente Medical Group
• Sovereighdarity Laboration Inc.
• Alejandra Sparrow

• Marriage & Family Therapist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.