Individual provider Active NPI

Sonia Andree Petite, RN

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Liberty Corner, NJ
National Provider Identifier
1578641841
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
26NJ00189700 Issued in NJ
Practice address
3415 Valley Road
Liberty Corner, NJ 07938-0825
Phone
(908) 647-0800
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NO08706400 NJ
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 26NJ00189700 NJ Primary

Addresses

Primary practice location

3415 Valley Road
Liberty Corner, NJ 07938-0825

Mailing address

3415 Valley Road
P.O. Box 825
Liberty Corner, NJ 07938-0825
Phone (908) 647-0800

Other names 1

  • Mrs. Sonia Robinson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO08706400NJMDPsychiatric/Mental Health Registered Nurse
26NJ00189700NJMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1578641841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 VALLEY ROAD",
            "address_2": "P.O. BOX 825",
            "city": "LIBERTY CORNER",
            "state": "NJ",
            "postal_code": "079380825",
            "telephone_number": "908-647-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 VALLEY ROAD",
            "city": "LIBERTY CORNER",
            "state": "NJ",
            "postal_code": "079380825",
            "telephone_number": "908-647-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITE",
        "first_name": "SONIA",
        "middle_name": "ANDREE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NO08706400",
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NJ",
            "license": "26NJ00189700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "ROBINSON",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Liberty Corner, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.