Active NPI
Free Again Consulting
- Clinical Psychologist
- Simi Valley, CA
National Provider Identifier
1972071728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- FREE AGAIN CONSULTING
- Practice address
- 2880 Cochran St # 1009
Simi Valley, CA 93065-0700 - Phone
- (818) 971-9194
- Fax
- (855) 270-9495
- NPI assigned
- Nov 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Soha Heidari Gonzalez, PSY.D.
- Title
- Clinic Director
- Phone
- (818) 971-9194
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Family Psychologist | 103TF0000X | |||
| School Psychologist | 103TS0200X |
Addresses
Primary practice location
2880 Cochran St # 1009
Simi Valley, CA 93065-0700
Mailing address
2880 Cochran St # 1009
Simi Valley, CA 93065-0700
Phone (818) 971-9194
Other practice location 1
1919 Williams St Ste 300
Simi Valley, CA 93065-2887
Phone (818) 971-9194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275799298 | Other | CA | CLINICAL PSYCHOLOGIST |
National Provider Directory
National Provider DirectoryLocations
2880 Cochran St
#1009
Simi Valley, CA 93065
Phone (626) 627-0620
1919 Williams St
Ste 300
Simi Valley, CA 93065
Phone (818) 971-9194
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Simi Valley, CA
- NPI 1285231654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640649600000",
"number": "1972071728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 COCHRAN ST # 1009",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930650700",
"telephone_number": "818-971-9194",
"fax_number": "855-270-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 COCHRAN ST # 1009",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930650700",
"telephone_number": "818-971-9194",
"fax_number": "855-270-9495"
}
],
"practiceLocations": [
{
"address_1": "1919 Williams St Ste 300",
"address_purpose": "LOCATION",
"city": "Simi Valley",
"state": "CA",
"postal_code": "930652887",
"country_code": "US",
"telephone_number": "818-971-9194",
"fax_number": "855-270-9495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FREE AGAIN CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-09",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "SOHA",
"authorized_official_middle_name": "HEIDARI",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "818-971-9194",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL PSYCHOLOGIST",
"identifier": "1275799298",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
- Brodan Fortuna, CMT
- James David Foster, O.D.
- Laurel Drake Fraser, LMFT
- Fratt Dental Corporation (Brightnow Simi Valley)
- Kristin Fredrickson, MA MFT
- Free Clinic of Simi Valley
- Free Clinic of Simi Valley
- Free Motion Therapeutics & Physical Therapy Inc.
- Free Spirit Hospice, Inc.
- Karynne Fricke, M.A. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.