Melanie Soenksen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1363 Douglas Dr
Traverse City, MI 49696-8980

Phone

(231) 668-4909

NPI assigned

Jun 20, 2018

Last updated

Jun 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1740774942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10423 HAGER RD",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496339312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 DOUGLAS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968980",
            "telephone_number": "231-668-4909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10423 Hager Rd",
            "address_purpose": "LOCATION",
            "city": "Fife Lake",
            "state": "MI",
            "postal_code": "496339312",
            "country_code": "US",
            "telephone_number": "517-518-4959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOENKSEN",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Ross Snyder, M.D.
• Soave Eye Care PLLC
• Scott James Soave, O.D
• Aliyah Marie Sobers
• Autumn Sobleski, LLMSW
• Jessica Labioda Sohn, LCSW
• Rachel E Soles, FNP
• Anessa Leigh Songer, D.O.
• Carrie M Sorensen, PA-C
• Soul Purpose Home Care, LLC

• Behavior Technician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.