Andrew J Sodergren, PSY.D., LP #6861

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6861 Issued in OH

Practice address

6675 Wesselman Rd
Cincinnati, OH 45248-1212

Phone

(513) 407-8878

Fax

(513) 407-8878

NPI assigned

Aug 9, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 21, 2019 through Jun 21, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Immaculate Heart of Mary Counseling Center

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1982618328
  NPD (past)

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1861683278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESSELMAN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481212",
            "telephone_number": "513-407-8878",
            "fax_number": "513-417-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 WESSELMAN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481212",
            "telephone_number": "513-407-8878",
            "fax_number": "513-407-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODERGREN",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LP #6861",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna P Sobolewski, M.D.
• Brad H. Sobolewski, M.D.
• Kerri Beth Sobolewski, MD
• Thomas P Sobolewski, MD
• Megan Sobotka
• Neena Sodhi, M. D.
• Katherine Soe, M.D.
• Genevieve Sofranec
• Samina Sohail, MD
• Davendra Pratap Singh Sohal, MD, MPH

• Clinical Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.