Mohammed Kanyori Boye Soori, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101237535 Issued in VA

Practice address

2232 Devore CT
Virginia Beach, VA 23451-1076

Phone

(757) 412-1156

Fax

(757) 412-1301

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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

• Behavioral & Neuropsychiatric Group, Inc

  • Psychiatry Physician
  • Virginia Beach, VA
  • NPI 1548287253
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1528021946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 DEVORE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511076",
            "telephone_number": "757-412-1156",
            "fax_number": "757-412-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 DEVORE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511076",
            "telephone_number": "757-412-1156",
            "fax_number": "757-412-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOORI",
        "first_name": "MOHAMMED",
        "middle_name": "KANYORI BOYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101237535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010149436",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "178901",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "218064",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonder Network, LLC.
• Sonder Network, LLC.
• Candice Eunyoung Song, DO
• Chongwook Song
• Katherine Jihye Song, PA-C
• Sophia Sills-Tailor, PH.D, LPC, PLLC
• Netta Michelle Sorhaindo, NP
• Albert Ibay Soriano, MD
• Nick James Sorokos, LPTA
• Keshia Sorrell

• Psychiatry Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.