Derick Sonjong, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R204750 Issued in MD

Practice address

4507 Lyons Run Cir Apt T3
Owings Mills, MD 21117-6979

Phone

(571) 277-0779

NPI assigned

Mar 1, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crediblecare Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owings Mills, MD
  • NPI 1699503227

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Post Acute Physician Partners, LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1710385554
  Medicare reassignment NPD
• Serene Care Holdings LLC

  • Family Nurse Practitioner
  • Owings Mills, MD
  • NPI 1396350484
  Medicare reassignment NPD
• Serene Care Holdings LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owings Mills, MD
  • NPI 1326748880

  Psychiatric/Mental Health

  NPD
• Sage Hollow Health PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1003700071
  NPD

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1851047690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 LYONS RUN CIR APT T3",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176979",
            "telephone_number": "571-277-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 LYONS RUN CIR APT T3",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176979",
            "telephone_number": "571-277-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONJONG",
        "first_name": "DERICK",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R204750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayomiposi Solomon
• Risa S Solomon, BT
• Solutions for Families MD, LLC
• Solutions Home Healthcare Services LLC
• Sally Elizabeth Sondergaard, MD
• Christa Sonnier
• Diane R. Soronson, LCSW-C
• Sound Mind Behavioral Health
• Sound Wellness Behavioral Health Center Inc
• Sound Wellness Center

• Psychiatric/Mental Health Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.