Individual provider Active NPI

Kathleen Gorman Sorahan, RN, MFT

  • Psychiatric/Mental Health Registered Nurse
  • Poway, CA
National Provider Identifier
1659409639
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN403279 Issued in CA
Practice address
12610 Cobblestone Creek Rd
Poway, CA 92064-5301
Phone
(858) 748-4687
NPI assigned
Mar 1, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC32669 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X RN403279 CA Primary

Addresses

Primary practice location

12610 Cobblestone Creek Rd
Poway, CA 92064-5301

Mailing address

12610 Cobblestone Creek Rd
Poway, CA 92064-5301
Phone (858) 748-4687

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
MFC32669CAMDMarriage & Family Therapist
RN403279CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1659409639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 COBBLESTONE CREEK RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645301",
            "telephone_number": "858-748-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 COBBLESTONE CREEK RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645301",
            "telephone_number": "858-748-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORAHAN",
        "first_name": "KATHLEEN",
        "middle_name": "GORMAN",
        "name_prefix": "Ms.",
        "credential": "RN, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC32669",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "RN403279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.