Active NPI
Sheila Renee Sorensen, CLINICAL PSYCHOLOGIS
- Clinical Psychologist
- Santa Rosa, CA
National Provider Identifier
1396882957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33234
- Practice address
- 50 Santa Rosa Ave Ste 300
Santa Rosa, CA 95404-4901 - Phone
- (707) 477-4456
- NPI assigned
- Jan 31, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSB32580 | CA | |
| Clinical Psychologist | 103TC0700X | 33234 | CA | Primary |
Addresses
Primary practice location
50 Santa Rosa Ave Ste 300
Santa Rosa, CA 95404-4901
Mailing address
1521 Pembleton PL
Santa Rosa, CA 95403-8925
Phone (074) 774-4567
Other practice location 1
1000 G St Ste 125
Sacramento, CA 95814-0894
Phone (707) 477-4456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB32580 | CA | MD | Psychologist |
| 33234 | CA | MD | Clinical Psychologist |
Interoperability endpoints
- sheila.sorensen.1@25119.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1396882957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 PEMBLETON PL",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954038925",
"telephone_number": "074-774-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SANTA ROSA AVE STE 300",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044901",
"telephone_number": "707-477-4456"
}
],
"practiceLocations": [
{
"address_1": "1000 G St Ste 125",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958140894",
"country_code": "US",
"telephone_number": "707-477-4456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORENSEN",
"first_name": "SHEILA",
"middle_name": "RENEE",
"credential": "CLINICAL PSYCHOLOGIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSB32580",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "33234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.