Sound Mind Behavioral Clinic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUND MIND BEHAVIORAL CLINIC

Practice address

131 Campbell Ave SW Ste 512
Roanoke, VA 24011-1244

Phone

(407) 914-9418

NPI assigned

Feb 2, 2024

Last updated

Feb 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeerika Diaz, APRNNPI 1801482260

Title

Aprn/Owner

Phone

(407) 914-9418

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeerika Diaz

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
  • NPI 1801482260
  NPD Authorized official

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1417710377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CAMPBELL AVE SW STE 512",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111244",
            "telephone_number": "407-914-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CAMPBELL AVE SW STE 512",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111244",
            "telephone_number": "407-914-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MIND BEHAVIORAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JEERIKA",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "407-914-9418",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria R Soriano, M.D.
• Dario R Sorrentino, MD
• Siena Sorrentino, PA-C
• Jessica Noelle Sosa-Stanley, M.D.
• Lauren Gabrielle Sosik, NP
• Usha Soundarapandian, MD
• South Roanoke Life Care, LLC (South Roanoke Nursing Home)
• South Roanoke OB-GYN PC
• Catherine Blair South, PT, DPT
• David Southall, LPC

• Psychiatric/Mental Health Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.