Jody Marie Sorenson

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2375 Issued in CO

Practice address

12500 NW Military Hwy
Suite 250
San Antonio, TX 78231-1871

Phone

(210) 563-2834

NPI assigned

Jan 21, 2009

Last updated

Jan 21, 2009By 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 4

Addresses

Other names 1

• Jody Sorenson Theis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1770720278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 NW MILITARY HWY",
            "address_2": "SUITE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311871",
            "telephone_number": "210-563-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 NW MILITARY HWY",
            "address_2": "SUITE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311871",
            "telephone_number": "210-563-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "JODY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64846",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2375",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "33348",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CO",
            "license": "0334000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "THEIS",
            "middle_name": "SORENSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Salvador Sordo, M.D.
• Marcus J Sorensen, PPF
• Robert Michael Sorensen, M.A.,L.P.C.-S
• Seth T Sorensen, PHD
• Helen Marie Sorenson, RRT
• Veronica Soria, LVN
• Cassandra Soriano, LPC
• Elida Soriano, RBT
• Dana Rene Sorick, LCSW
• Angela Inez Sorrell, PT

• Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.