Active NPI
Tony John Sorensen, PSY.D.
- Clinical Psychologist
- Sioux Falls, SD
National Provider Identifier
1861669772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 523
- Practice address
- 4400 W 69TH St
Ste. 500
Sioux Falls, SD 57108-8171 - Phone
- (605) 322-7580
- Fax
- (605) 322-7579
- NPI assigned
- May 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP4918 | MN | |
| Clinical Psychologist | 103TC0700X | 523 | SD | Primary |
Addresses
Primary practice location
4400 W 69TH St
Ste. 500
Sioux Falls, SD 57108-8171
Mailing address
2400 S. Minnesota Ave.
Ste. 100
Sioux Falls, SD 57105-3762
Phone (605) 322-7510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141124001852 | SD | Practitioner - Clinical Psychologist | 5597836320 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2412 S Cliff Ave
Suite 200
Sioux Falls, SD 57105-4031
Phone (605) 322-4079
4400 W 69TH St
Suite 500
Sioux Falls, SD 57108-8171
Phone (605) 322-7580
6000 W 41St St
Sioux Falls, SD 57106-3012
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP4918 | MN | MD | Clinical Psychologist |
| 523 | SD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients | |
| Southwestern Mental Health Center Inc | Past | Accepting new patients |
Locations
4400 W 69th St
Ste 1500
Sioux Falls, SD 57108
Phone (605) 322-5700
3932 S Western Ave
Sioux Falls, SD 57105
Phone (605) 322-6408
4400 W 69th St
Ste 500
Sioux Falls, SD 57108
Phone (605) 322-5700
Interoperability endpoints
- tony.sorensen@avera.sdhealthlink.net
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
SD
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1407829781
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Luverne, MN
- NPI 1487654562
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1861669772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S. MINNESOTA AVE.",
"address_2": "STE. 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571053762",
"telephone_number": "605-322-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 W 69TH ST",
"address_2": "STE. 500",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088171",
"telephone_number": "605-322-7580",
"fax_number": "605-322-7579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "TONY",
"middle_name": "JOHN",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP4918",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SD",
"license": "523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.