Organization Active NPI

Soranity

  • Community/Behavioral Health Agency
  • Downers Grove, IL
National Provider Identifier
1114566171
Registry record updated Dec 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SORANITY
Practice address
5202 Washington St Ste 9-11
Downers Grove, IL 60515-4772
Phone
(708) 308-0453
NPI assigned
Dec 22, 2019
Last updated
Dec 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2019

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

Authorized official

Name
Payal Sud, LCSWNPI 1851681944
Title
President
Phone
(708) 308-0453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5202 Washington St Ste 9-11
Downers Grove, IL 60515-4772

Mailing address

485 Foxborough TRL
Bolingbrook, IL 60440-4835
Phone (708) 308-0453

Other identifiers 1

IdentifierTypeStateIssuer
336782721001MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1576972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576972800000",
    "number": "1114566171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 FOXBOROUGH TRL",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404835",
            "telephone_number": "708-308-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 WASHINGTON ST STE 9-11",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154772",
            "telephone_number": "708-308-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORANITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-22",
        "last_updated": "2019-12-22",
        "certification_date": "2019-12-22",
        "status": "A",
        "authorized_official_last_name": "SUD",
        "authorized_official_first_name": "PAYAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-308-0453",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336782721001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2019; 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.