Be Child and Adolescent Mental Health LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

BE CHILD AND ADOLESCENT MENTAL HEALTH LLC

Practice address

1309 S Oneida St
Appleton, WI 54915-1351

Phone

(920) 903-8841

NPI assigned

Mar 27, 2018

Last updated

Apr 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carey Sorenson, PHDNPI 1760613962

Title

Owner

Phone

(920) 903-8841

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carey Lynn Sorenson, PHD

  • Counseling Psychologist
  • Appleton, WI
  • NPI 1760613962
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1003311556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151351",
            "telephone_number": "920-903-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151351",
            "telephone_number": "920-903-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE CHILD AND ADOLESCENT MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-04-18",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-903-8841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "3407-57",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Appleton, WI
• Providers in Appleton, WI by specialty
• Counseling Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.