Organization Active NPI

Sonoma Therapeutic Arts and Education, a Psychological Corporation

  • Psychologist
  • Petaluma, CA
National Provider Identifier
1942924899
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SONOMA THERAPEUTIC ARTS AND EDUCATION, A PSYCHOLOGICAL CORPORATION
Practice address
7 4TH St
Petaluma, CA 94952-3043
Phone
(707) 763-1091
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Dr. Richard CarolanNPI 1760637607
Title
President
Phone
(707) 763-1091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

7 4TH St
Petaluma, CA 94952-3043

Mailing address

7 4TH St Ste 64
Petaluma, CA 94952-7410
Phone (707) 763-1091

National Provider Directory

National Provider Directory

Locations

7 4th St
Ste 64
Petaluma, CA 94952
Phone (707) 763-1091

7 4th St
Petaluma, CA 94952
Phone (408) 621-0595

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1942924899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 4TH ST STE 64",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949527410",
            "telephone_number": "707-763-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 4TH ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523043",
            "telephone_number": "707-763-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMA THERAPEUTIC ARTS AND EDUCATION, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "CAROLAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-763-1091",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.