Active NPI
Sonnee D Weedn, PC, PH.D.
- Clinical Psychologist
- Novato, CA
National Provider Identifier
1164542015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY12188
- Practice address
- 3 Hamilton Landing
#230
Novato, CA 94945 - Phone
- (415) 883-7758
- Fax
- (415) 883-8385
- NPI assigned
- Mar 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY12188 | CA | |
| Clinical Psychologist | 103TC0700X | PSY12188 | CA | Primary |
Addresses
Primary practice location
3 Hamilton Landing
#230
Novato, CA 94945
Mailing address
3 Hamilton Landing
#230
Novato, CA 94949
Phone (415) 883-7758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12188 | CA | MD | Psychologist |
| 12188 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonnee Weedn, PH.D., Professional Corporation | Past | Accepting new patients | |
| Sonnee Weedn, PHD, a Professional Corporation | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Novato, CA
- NPI 1164771879
-
- Psychologist
- Novato, CA
- NPI 1073939518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1164542015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HAMILTON LANDING",
"address_2": "#230",
"city": "NOVATO",
"state": "CA",
"postal_code": "94949",
"telephone_number": "415-883-7758",
"fax_number": "415-883-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HAMILTON LANDING",
"address_2": "#230",
"city": "NOVATO",
"state": "CA",
"postal_code": "94945",
"telephone_number": "415-883-7758",
"fax_number": "415-883-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEDN, PC",
"first_name": "SONNEE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-31",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY12188",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY12188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.