NPIMap

Organization Active NPI

Sonder Behavioral Health & Wellness, Inc.

  • Clinical Psychologist
  • Minnetonka, MN
National Provider Identifier
1780031732
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP4754 Issued in MN
Legal business name
SONDER BEHAVIORAL HEALTH & WELLNESS, INC.
Practice address
12301 Whitewater Dr
Ste 101
Minnetonka, MN 55343-9447
Phone
(952) 999-6097
Fax
(952) 426-0508
NPI assigned
May 19, 2016
Last updated
Oct 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Sara Schilplin, PSY.DNPI 1821106279
Title
Owner
Phone
(952) 999-6097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MN
Family Nurse Practitioner 363LF0000X MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X MN
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X MN
Addiction (Substance Use Disorder) Counselor 101YA0400X MN
Mental Health Counselor 101YM0800X MN
Professional Counselor 101YP2500X MN
Clinical Neuropsychologist 103G00000X MN
Clinical Psychologist 103TC0700X LP4754 MN Primary
Counseling Psychologist 103TC1900X MN
Clinical Child & Adolescent Psychologist 103TC2200X LP4754 MN
Clinical Social Worker 1041C0700X MN
Marriage & Family Therapist 106H00000X MN
Psychiatry Physician 2084P0800X MN
Child & Adolescent Psychiatry Physician 2084P0804X MN

Addresses

Primary practice location

12301 Whitewater Dr
Ste 101
Minnetonka, MN 55343-9447

Mailing address

12301 Whitewater Dr
Ste 101
Minnetonka, MN 55343-9447
Phone (952) 999-6097

Other identifiers 1

IdentifierTypeStateIssuer
1780031732MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160725002280 MN Part B Supplier - Clinic/Group Practice 4880987114 Receives reassigned benefits from 33 practitioners
Practice locations: Minnetonka, MN

National Provider Directory

National Provider Directory

Locations

809 Meander Ct
Medina, MN 55340
Phone (952) 999-6097

12301 Whitewater Dr
Ste 101
Minnetonka, MN 55343
Phone (952) 999-6097

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1780031732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 WHITEWATER DR",
            "address_2": "STE 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439447",
            "telephone_number": "952-999-6097",
            "fax_number": "952-426-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 WHITEWATER DR",
            "address_2": "STE 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439447",
            "telephone_number": "952-999-6097",
            "fax_number": "952-426-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONDER BEHAVIORAL HEALTH & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "SCHILPLIN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-999-6097",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4754",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP4754",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780031732",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.