Organization Active NPI

Sonny Side of Coaching

  • Case Management Agency
  • Washington, DC
National Provider Identifier
1336779651
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SONNY SIDE OF COACHING
Practice address
616 E St NW Apt 1007
Washington, DC 20004-2275
Phone
(202) 560-7967
NPI assigned
Jan 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2020

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

Authorized official

Name
Mr. Sonny Carlos Meyers-Graham, BSC, CLC
Title
Ceo
Phone
(619) 313-7304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

616 E St NW Apt 1007
Washington, DC 20004-2275

Mailing address

616 E St NW Apt 1007
Washington, DC 20004-2275
Phone (202) 560-7967

Other names 1

  • Sonny Side Life Coaching Doing business as

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": "1579996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579996800000",
    "number": "1336779651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E ST NW APT 1007",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042275",
            "telephone_number": "202-560-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E ST NW APT 1007",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042275",
            "telephone_number": "202-560-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNY SIDE OF COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-26",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A",
        "authorized_official_last_name": "MEYERS-GRAHAM",
        "authorized_official_first_name": "SONNY",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-313-7304",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSC, CLC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonny Side Life Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; 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.