Sondike Behavioral Connection LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SONDIKE BEHAVIORAL CONNECTION LLC

Practice address

4 Northwoods Rd
Ocean, NJ 07712-2514

Phone

(973) 479-4051

NPI assigned

Feb 24, 2023

Organization subpart

No

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

Authorized official

Name

Gwyn Sondike, PHD

Title

Owner

Phone

(973) 479-4051

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1497454821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NORTHWOODS RD",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077122514",
            "telephone_number": "973-479-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTHWOODS RD",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077122514",
            "telephone_number": "973-479-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONDIKE BEHAVIORAL CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "SONDIKE",
        "authorized_official_first_name": "GWYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-479-4051",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Ocean, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.