Organization Active NPI

Free Again Consulting

  • Clinical Psychologist
  • Simi Valley, CA
National Provider Identifier
1972071728
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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

Updated by the provider on Dec 28, 2021

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)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1275799298OtherCACLINICAL PSYCHOLOGIST

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.