Individual provider Active NPI

Sonal Markanda, PHD LP

  • Clinical Psychologist
  • Shakopee, MN
National Provider Identifier
1508189051
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6119 Issued in MN
Practice address
7009 Whitehall Rd
Shakopee, MN 55379-8016
Phone
(612) 655-6047
NPI assigned
Mar 11, 2010
Last updated
Nov 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6119 MN Primary

Addresses

Primary practice location

7009 Whitehall Rd
Shakopee, MN 55379-8016

Mailing address

7009 Whitehall Rd
Shakopee, MN 55379-8016
Phone (612) 655-6047

Other practice location 1

6542 Regency Ln Ste 204
Eden Prairie, MN 55344-7848
Phone (612) 655-6047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20170504001215 MN Practitioner - Clinical Psychologist 2567749385 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6119MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Markanda Clinic for Integrated Psychology CurrentSince Jan 24, 2021 Accepting new patients
Sonder Behavioral Health & Wellness, Inc. Clinical CurrentSince Aug 1, 2019 Accepting new patients

Locations

6542 Regency Ln
Ste 204
Eden Prairie, MN 55344
Phone (612) 230-8259

12301 Whitewater Dr
Ste 101
Minnetonka, MN 55343
Phone (952) 999-6097

Organizations & group practices 2

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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1508189051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 WHITEHALL RD",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553798016",
            "telephone_number": "612-655-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7009 WHITEHALL RD",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553798016",
            "telephone_number": "612-655-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6542 Regency Ln Ste 204",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553447848",
            "country_code": "US",
            "telephone_number": "612-655-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKANDA",
        "first_name": "SONAL",
        "name_prefix": "Dr.",
        "credential": "PHD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.