Nichole Lee Sonderman, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

46866 Issued in KY

Practice address

900 State St
Suite 203B
Erie, PA 16501-1419

Phone

(866) 492-7597

NPI assigned

Apr 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nsonderman324861@direct.centracare.com
• FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carris Health LLC

  dba CentraCare - Rice Memorial Hospital

  • Emergency Medicine Physician
  • Willmar, MN
  • NPI 1134632680
  Medicare reassignment NPD
• St. Cloud Hospital

  • General Acute Care Hospital
  • Saint Cloud, MN
  • NPI 1043269798
  Medicare reassignment NPD
• Western Mental Health Center, Inc.

  • Mental Health Counselor
  • Marshall, MN
  • NPI 1982613311
  Medicare reassignment NPD
• Carris Health LLC

  • Durable Medical Equipment & Medical Supplies
  • Willmar, MN
  • NPI 1427684612
  NPD
• St. Cloud Hospital

  dba Recovery Plus Residential - Adolescent

  • Children's Substance Abuse Rehabilitation Facility
  • Saint Cloud, MN
  • NPI 1780020925
  NPD
• St. Cloud Hospital

  dba Extended Contract Inpt Psych Services

  • Psychiatric Hospital Unit
  • Saint Cloud, MN
  • NPI 1932419058
  NPD
• Imagine Medical Group, PA

  dba Innovatel Medical

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1821731548
  NPD (past)

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1114217270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STATE ST",
            "address_2": "SUITE 203B",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011419",
            "telephone_number": "866-492-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STATE ST",
            "address_2": "SUITE 203B",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011419",
            "telephone_number": "866-492-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONDERMAN",
        "first_name": "NICHOLE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "46866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100211350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Scott Sohl, MD
• Dawn Renee Sokol, MA, LPC, CAADC
• Alivyana Marie Solarus, RDN
• Solutions Et Al, Inc,
• Yash Rajesh Somnay, MD, PHD
• Brenton Jay Seung Hoon Song, DO
• Breana M Songers, LPC, NCC
• Ashley Rose Sonney, FNP
• Crystal Sopher
• Rhonda Lee Sopher, EMT-P, RN, PHRN

• Child & Adolescent Psychiatry Physician in Erie, PA
• Providers in Erie, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.