Soper Family Psychiatry Medical Group
NPI 1699158634 · Medical Specialty Clinic/Center · Mckinleyville, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Soper Family Psychiatry Medical Group is a Medical Specialty Clinic/Center organization in Mckinleyville, CA (NPI 1699158634).
Provider details
- NPI number
- 1699158634
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Niki Moore, Office Manager(707) 445-4705
Specialties & taxonomies
Ambulatory Health Care Facilities
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-07-08
- Last updated
- 2024-10-16
- Certified
- 2024-10-15
Frequently asked questions
- What is Soper Family Psychiatry Medical Group's NPI number?
- Soper Family Psychiatry Medical Group's National Provider Identifier (NPI) is 1699158634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Soper Family Psychiatry Medical Group?
- Soper Family Psychiatry Medical Group is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Soper Family Psychiatry Medical Group located?
- Soper Family Psychiatry Medical Group's practice location on file with NPPES is 1836 Central Ave Ste a, Mckinleyville, CA 95519-3667.
- What is Soper Family Psychiatry Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Soper Family Psychiatry Medical Group is (707) 445-4705.
- Does Soper Family Psychiatry Medical Group accept Medicare?
- Soper Family Psychiatry Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Soper Family Psychiatry Medical Group?
- The authorized official listed on Soper Family Psychiatry Medical Group's NPPES record is Niki Moore, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Soper Family Psychiatry Medical Group's NPI active?
- Yes — Soper Family Psychiatry Medical Group's NPI (1699158634) is active in the NPPES registry as of the last update on 2024-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.