Healthcare Provider Details

I. General information

NPI: 1962321323
Provider Name (Legal Business Name): SOPHIA ROBINSON, PSYD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S KRAEMER BLVD STE 112
PLACENTIA CA
92870-6109
US

IV. Provider business mailing address

6172 ACACIA HILL DR
YORBA LINDA CA
92886-5807
US

V. Phone/Fax

Practice location:
  • Phone: 714-299-0549
  • Fax: 714-779-2939
Mailing address:
  • Phone: 714-299-0549
  • Fax: 714-779-2939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. SOPHIA ROBINSON
Title or Position: PRESIDENT
Credential: PSYD
Phone: 714-299-0549