Sound Sleep Centers

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

6586527 Issued in MN

Legal business name

SOUND SLEEP CENTERS

Practice address

12000 Elm Creek Blvd N
Suite 360
Maple Grove, MN 55369-7073

Phone

(763) 315-4300

Fax

(763) 315-4360

NPI assigned

Nov 27, 2006

Last updated

Aug 22, 2020By 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

Mr. Kelly D Johnson

Title

Executive Director

Phone

(763) 315-4300

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447326111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N",
            "address_2": "SUITE 360",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697073",
            "telephone_number": "763-315-4300",
            "fax_number": "763-315-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N",
            "address_2": "SUITE 360",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697073",
            "telephone_number": "763-315-4300",
            "fax_number": "763-315-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND SLEEP CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-315-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MN",
            "license": "6586527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6774633",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "68G29S0",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "94524",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabreena Solway, MA, LMFT
• Somers Psychological Services, P.a.
• Iris Song, PSY.D., L.P.
• Sota Therapy
• Soul Savvy Counseling and Therapy Services LLC
• Sound ZZZ Medical Equipment
• South Lake Clinic, PA (South Lake Pediatrics)
• Diane Sparish
• William Todd Sparks, D.C.
• Specialists in General Surgery, LTD (Specialists in General Surgery)

• Sleep Disorder Diagnostic Clinic/Center in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Sleep Disorder Diagnostic Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.