Individual provider Active NPI

Laura Jean Rambikur

  • Student in an Organized Health Care Education/Training Program
  • Brighton, MA
National Provider Identifier
1215303839
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
D05052953 Issued in AZ
Practice address
1725 Commonwealth Ave
Apt #3
Brighton, MA 02135-4022
Phone
(928) 533-7092
NPI assigned
Aug 18, 2015
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X D05052953 AZ Primary

Addresses

Primary practice location

1725 Commonwealth Ave
Apt #3
Brighton, MA 02135-4022

Mailing address

1725 Commonwealth Ave
Apt #3
Brighton, MA 02135-4022
Phone (928) 533-7092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915003291 CO Practitioner - Clinical Social Worker 1658735113 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D05052953AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 11, 2023 Accepting new patients
Soundmind Counseling, PLLC CurrentSince Aug 9, 2020 Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

2432 W Peoria Ave
Ste 1123
Phoenix, AZ 85029
Phone (480) 382-6522

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1215303839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 COMMONWEALTH AVE",
            "address_2": "APT #3",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021354022",
            "telephone_number": "928-533-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 COMMONWEALTH AVE",
            "address_2": "APT #3",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021354022",
            "telephone_number": "928-533-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBIKUR",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "D05052953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.