Sophie Bryan, PHD
NPI 1467686360ActiveIndividual· Psychologist· La Jolla, CA
Psychologist (PHD) in La Jolla, California, licensed in CA, with an NPI issued in May 2009. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1467686360 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | May 6, 2009 |
| Last updated in NPPES | Jun 19, 2024 |
| Certified by provider | Jun 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 32363 | CA |
| Marriage & Family Therapist | 106H00000X | 47148 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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