Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Sofie Ling Champassak, PHD

Individual provider Clinical Psychologist · NPI 1114405305

Dr. Sofie Ling Champassak, PHD is a Clinical Psychologist in San Diego, California. Qualified in 2016, 10 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3411 3rd Ave
San Diego, CA 92103-4906
Phone: (619) 722-5797
Fax: (619) 354-2480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY30201 (CA)

Record details

NPI number1114405305
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 31, 2018
Last updated in NPPESSeptember 3, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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