SOFIA EKATERINA PETTYGROVE
NPI 1225548209
Counselor - Mental Health in Modesto, CA

Q: What is Sofia Pettygrove's NPI number?

The NPI number for Sofia Pettygrove is 1225548209. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Q: What is Sofia Pettygrove's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Sofia Pettygrove was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2017

2020 COFFEE RD STE A-5, MODESTO, CA 95355(209) 338-7361(209) 232-7093 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sofia Ekaterina Pettygrove NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOFIA EKATERINA PETTYGROVE (NPI 1225548209) is an individual mental health provider in Modesto, California, licensed in California (123864) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1225548209

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSOFIA EKATERINA PETTYGROVE

Location Address2020 COFFEE RD STE A-5Modesto, CA 95355-2427

Mailing AddressPo Box 581921Modesto, CA 95358-0033 · (209) 338-7361 · Fax (209) 232-7093

Phone(209) 338-7361

Fax(209) 232-7093

Sole ProprietorYes

Enumeration DateOctober 4, 2017

Last NPPES UpdateAugust 23, 2022

NPPES CertifiedAugust 23, 2022

✔ NPI 1225548209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 123864

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

2020 COFFEE RD STE A-5, Modesto, CA 95355

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sofia Pettygrove's NPI number?

The NPI number for Sofia Pettygrove is 1225548209. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Where is Sofia Pettygrove located?

Sofia Pettygrove practices at 2020 Coffee Rd Ste A-5, Modesto, CA 95355. The listed phone number is (209) 338-7361.

What is Sofia Pettygrove's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Sofia Pettygrove was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.