Jason Soriano, Psy.D., P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

071009069 Issued in IL

Legal business name

JASON SORIANO, PSY.D., P.C.

Practice address

973 Featherstone Rd Ste 360
Rockford, IL 61107-5908

Phone

(815) 520-0927

Fax

(815) 345-2162

NPI assigned

Jul 23, 2015

Last updated

Jan 4, 2023By 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

Dr. Jason Soriano, PSYDNPI 1275920969

Title

Licensed Clinical Psychologist

Phone

(815) 520-0927

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Soriano, PSY.D

  • Clinical Psychologist
  • Rockford, IL
  • NPI 1275920969
  Medicare reassignment NPD Authorized official
• Ashley Kara Kohanyi, LSW

  • Social Worker
  • Rockford, IL
  • NPI 1265140693

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1588049274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 FEATHERSTONE RD STE 360",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075908",
            "telephone_number": "815-520-0927",
            "fax_number": "815-345-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 FEATHERSTONE RD STE 360",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075908",
            "telephone_number": "815-520-0927",
            "fax_number": "815-345-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON SORIANO, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-520-0927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "071009069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basil Eid Jaradah, M.D.
• Therese Jarvi, LCPC
• Andrzej M Jasek, MD
• Marcin Jasek, D.D.S
• Katarzyna Anna Jasinska, M.D.
• Bruce A Jasper, M.D.
• Javon Bea Hospital (Mercyhealth Pharmacy - Riverside)
• Javon Bea Hospital (Mercyhealth Pharmacy - Perryville)
• Javon Bea Hospital (Mercyhealth Pharmacy - Mulford)
• Javon Bea Hospital

• Community/Behavioral Health Agency in Rockford, IL
• Providers in Rockford, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.