Jason Soriano, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009069 Issued in IL

Practice address

3784 Fox Pointe
Rockford, IL 61114-7078

Phone

(608) 215-1110

Fax

(815) 395-0671

NPI assigned

Apr 20, 2015

Last updated

Apr 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jason Soriano, Psy.D., P.C.

  • Community/Behavioral Health Agency
  • Rockford, IL
  • NPI 1588049274
  Medicare reassignment NPD Authorized official
• Aspen Counseling & Consulting LLC

  • Community/Behavioral Health Agency
  • Rockford, IL
  • NPI 1326288994
  Medicare reassignment NPD
• Rockford Health Physicians

  dba Mercyhealth Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886
  Medicare reassignment NPD
• Aspen Counseling and Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1407287394
  NPD

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1275920969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3784 FOX POINTE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611147078",
            "telephone_number": "608-215-1110",
            "fax_number": "815-395-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3784 FOX POINTE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611147078",
            "telephone_number": "608-215-1110",
            "fax_number": "815-395-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian F. Soltys, D.D.S.
• Daniel Sommer, LCSW
• Adam Sommerfeld, LSW
• Gayatri Sonti, DO
• Rebekah Sooy, PA-C
• Morris Marc Soriano, MD
• Kaitlyn Sornsin, RN
• Francisco Gabriel Sotelo Aceves, PTA
• Bassam Soufan, MD
• Ahmed Soukat Ali, MD

• Clinical Psychologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.