Active NPI
Carey Lynn Sorenson, PHD
- Counseling Psychologist
- Appleton, WI
National Provider Identifier
1760613962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3407 - 57
- Practice address
- 1309 S Oneida St
Appleton, WI 54915-1351 - Phone
- (414) 841-6052
- NPI assigned
- Aug 5, 2009
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3407 - 57 | WI | Primary |
Addresses
Primary practice location
1309 S Oneida St
Appleton, WI 54915-1351
Mailing address
1709 Carriage LN
Appleton, WI 54914-6518
Phone (414) 841-6052
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3407-57 | WI | MD | Clinical Psychologist |
| 3407 - 57 | WI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1760613962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 CARRIAGE LN",
"city": "APPLETON",
"state": "WI",
"postal_code": "549146518",
"telephone_number": "414-841-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 S ONEIDA ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151351",
"telephone_number": "414-841-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSON",
"first_name": "CAREY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-05",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WI",
"license": "3407 - 57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.