Healthcare Provider Details

I. General information

NPI: 1063550267
Provider Name (Legal Business Name): SOPHIA ANASTASIA ROBINSON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17451 BASTANCHURY RD STE 204-13
YORBA LINDA CA
92886-1857
US

IV. Provider business mailing address

6172 ACACIA HILL DR
YORBA LINDA CA
92886-5807
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY14286
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY14286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: