Organization Active NPI

Elizabeth a Sorenson PHD

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1285924035
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008589 Issued in MI
Legal business name
ELIZABETH A SORENSON PHD
Practice address
2725 Packard St Ste 102
Ann Arbor, MI 48108-3443
Phone
(734) 417-7450
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Elizabeth A Sorenson, PH.DNPI 1275667263
Title
Clinical Psychologist
Phone
(734) 417-7450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 6301008589 MI Primary

Addresses

Primary practice location

2725 Packard St Ste 102
Ann Arbor, MI 48108-3443

Mailing address

4069 Pontiac TRL
Ann Arbor, MI 48105-9626
Phone (734) 417-7450

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1285924035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4069 PONTIAC TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059626",
            "telephone_number": "734-417-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 PACKARD ST STE 102",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083443",
            "telephone_number": "734-417-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH A SORENSON PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL  PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-417-7450",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.