Sophroneo Behavioral Health LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SOPHRONEO BEHAVIORAL HEALTH LLC

Practice address

6317 Executive Blvd
Rockville, MD 20852-3905

Phone

(301) 768-7883

NPI assigned

Jun 7, 2022

Organization subpart

No

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

Authorized official

Name

Tiruayer Negatu, DNPNPI 1902057177

Title

Psychiatric Mental Health Nurse Pra

Phone

(301) 768-7883

Specialties & licenses 1

Addresses

Other names 1

• Sophroneo Behavioral Health llc Former legal business name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiruayer Negatu

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
  • NPI 1902057177

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1740919539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523905",
            "telephone_number": "301-768-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523905",
            "telephone_number": "301-768-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHRONEO BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "NEGATU",
        "authorized_official_first_name": "TIRUAYER",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NURSE PRA",
        "authorized_official_telephone_number": "301-768-7883",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sophroneo Behavioral Health llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sonus-USA, Inc.
• Lillian Soo
• Kumud Lata Sood, MS,RD,LD
• Maya Sood
• Priti Kaur Sood, MD, MPH, FACC
• Martin Peter Sorensen, MD
• Ashley Soriano
• Ethan Soriano
• Maria Aurora Royo Soriano, MD
• Tatiana Soriano

• Health Service Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.