Maxwell Ruslan Sonneborn

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

171M00000X Issued in OH

Practice address

1994 Madison Rd
Cincinnati, OH 45208-3217

Phone

(513) 641-5530

NPI assigned

Jun 25, 2025

Sex

Male

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• G.L.a.D. House, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Cincinnati, OH
  • NPI 1205884905
  NPD (past)
• Hearing Speech and Deaf Center of Greater Cincinnati

  • Hearing and Speech Clinic/Center
  • Cincinnati, OH
  • NPI 1083667497
  NPD (past)

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1164310595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452083217",
            "telephone_number": "513-641-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452083217",
            "telephone_number": "513-641-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNEBORN",
        "first_name": "MAXWELL",
        "middle_name": "RUSLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "171M00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846559",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Carelogic",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1994 Madison Rd",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452083217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eugene Somoza, M.D.
• Hyun M Song, M.D.
• Songbird Health Oh LLC
• Jainish Suresh Soni
• Shamsun Nahar Sonia, MD
• Loretta Ann Sonnier, M.D.
• Deborah Ellen Sonon, LPN, LPN
• Lyn Sontag, PSY.D.
• Meghan Sontag, MA
• Madeleine Mae Sookdeo, MD

• Case Manager/Care Coordinator in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.