Active NPI
Jacqueline T Sorensen, MA
- School Psychologist
- Orlando, FL
National Provider Identifier
1235409087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS 000387
- Practice address
- 601 W Michigan St
Orlando, FL 32805-6203 - Phone
- (407) 317-7430
- Fax
- (407) 648-4150
- NPI assigned
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS 000387 | FL | Primary |
Addresses
Primary practice location
601 W Michigan St
Orlando, FL 32805-6203
Mailing address
601 W Michigan St
Orlando, FL 32805-6203
Phone (407) 317-7430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SS 000387 | Other | FL | FL LICENSE |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS 000387 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1235409087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328056203",
"telephone_number": "407-317-7430",
"fax_number": "407-648-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328056203",
"telephone_number": "407-317-7430",
"fax_number": "407-648-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "JACQUELINE",
"middle_name": "T",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS 000387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "SS 000387",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.