Individual provider Active NPI

Soren James Barrett, PH.D

  • Psychologist
  • Vero Beach, FL
National Provider Identifier
1437182243
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY4688 Issued in FL
Practice address
3625 Eagle Dr
Vero Beach, FL 32963-1650
Phone
(772) 538-1038
NPI assigned
Jul 8, 2006
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY4688 FL Primary

Addresses

Primary practice location

3625 Eagle Dr
Vero Beach, FL 32963-1650

Mailing address

PO Box 644114
Vero Beach, FL 32964-4114
Phone (772) 538-1038

Other names 1

  • Dr. Soren James Barrett Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110914000699 FL Practitioner - Clinical Psychologist 0749451110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

777 37TH St
Suite B107
Vero Beach, FL 32960-7301
Phone (772) 538-4656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY4688FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Four Seasons Psychological Services Inc Psychologist CurrentSince Jun 1, 2013 Accepting new patients

Locations

777 37th St
Ste B107
Vero Beach, FL 32960
Phone (772) 226-5026

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1437182243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644114",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329644114",
            "telephone_number": "772-538-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 EAGLE DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631650",
            "telephone_number": "772-538-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "SOREN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOREN",
            "last_name": "BARRETT",
            "middle_name": "JAMES",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.