Active NPI
Sophia Ann Gonzalez, MA
- Marriage & Family Therapist
- Santa Ana, CA
National Provider Identifier
1982925046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT 36997
- Practice address
- 1207 E Fruit St
Santa Ana, CA 92701-4296 - Phone
- (714) 953-9373
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT 36997 | CA | Primary |
Addresses
Primary practice location
1207 E Fruit St
Santa Ana, CA 92701-4296
Mailing address
124 Ximeno Ave
Long Beach, CA 90803-3064
Phone (714) 296-1801
Other practice location 1
9864 Baldwin Pl
El Monte, CA 91731-2202
Phone (626) 433-1316
Other names 1
- Sophia Ann Sheehan
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT 36997 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1982925046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 XIMENO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908033064",
"telephone_number": "714-296-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 E FRUIT ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014296",
"telephone_number": "714-953-9373"
}
],
"practiceLocations": [
{
"address_1": "9864 Baldwin Pl",
"address_purpose": "LOCATION",
"city": "El Monte",
"state": "CA",
"postal_code": "917312202",
"country_code": "US",
"telephone_number": "626-433-1316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "SOPHIA",
"middle_name": "ANN",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT 36997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOPHIA",
"last_name": "SHEEHAN",
"middle_name": "ANN",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.