Active NPI
Donna Jane Sorensen, PHD.
- Clinical Neuropsychologist
- Martinez, CA
National Provider Identifier
1760461891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY13878
- Practice address
- 150 Muir Rd
Martinez, CA 94553-4668 - Phone
- (925) 372-2000
- Fax
- (925) 372-2830
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY13878 | CA | Primary |
Addresses
Primary practice location
150 Muir Rd
Martinez, CA 94553-4668
Mailing address
150 Muir Rd
VA Nchcs
Martinez, CA 94553
Phone (925) 372-2000
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY13878 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1760461891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MUIR RD",
"address_2": "VA NCHCS",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "94553",
"telephone_number": "925-372-2000",
"fax_number": "925-372-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MUIR RD",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534668",
"telephone_number": "925-372-2000",
"fax_number": "925-372-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "DONNA",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY13878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.