Active NPI
Sonji Jackson, CASAC
- Addiction (Substance Use Disorder) Counselor
- Bronx, NY
National Provider Identifier
1275926057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 16895
- Practice address
- 1600 Malcombs Road
Bronx, NY 10452 - Phone
- (718) 299-3300
- Fax
- (718) 299-5909
- NPI assigned
- Mar 18, 2015
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16895 | NY | Primary |
Addresses
Primary practice location
1600 Malcombs Road
Bronx, NY 10452
Mailing address
1600 Macombs Rd
Bronx, NY 10452-2016
Phone (718) 299-3300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16895 | NY | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1275926057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 MACOMBS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104522016",
"telephone_number": "718-299-3300",
"fax_number": "718-299-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MALCOMBS ROAD",
"city": "BRONX",
"state": "NY",
"postal_code": "10452",
"telephone_number": "718-299-3300",
"fax_number": "718-299-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "SONJI",
"credential": "CASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "16895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.