Sophia Renee Berger, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY35282 Issued in CA

Practice address

28328 Agoura Rd Ste 102
Agoura Hills, CA 91301-2739

Phone

(818) 900-5939

NPI assigned

Jul 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 23, 2025 through Oct 23, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunlight Psychological Services

  • Clinical Child & Adolescent Psychologist
  • Agoura Hills, CA
  • NPI 1811564792
  NPD
• Our Kids Developmental Services

  • Community/Behavioral Health Agency
  • Pasadena, CA
  • NPI 1265665665
  NPD (past)

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1992376461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38238 AGOURA ROAD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014820",
            "telephone_number": "818-900-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28328 AGOURA RD STE 102",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012739",
            "telephone_number": "818-900-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "SOPHIA",
        "middle_name": "RENEE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sberger@ourkidsds.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "940 E Union St Ste 202",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911061782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Simindokht Heshmat Behzadi, LAC
• Ashley Bezaleel Benjamin
• Kathleen McGarr Bennett, D.D.S.
• Bente Berman MD Inc
• Philip L Berger, BPHARM
• Suzanne Paulette Berger, D.D.S.
• Bente H Berman, M.D.
• Stephanie Bernardin
• Cole Berweiler, PTA
• Stephanie Robin Bien, LMFT, LPCC

• Clinical Psychologist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.