Individual provider Active NPI

Jennifer Sorrento

  • Assistant Behavior Analyst
  • Philadelphia, PA
National Provider Identifier
1871018416
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
N Issued in PA
Practice address
5035 Hawthorne St
Philadelphia, PA 19124-1340
Phone
(267) 235-9122
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 106E00000X N PA Primary

Addresses

Primary practice location

5035 Hawthorne St
Philadelphia, PA 19124-1340

Mailing address

5035 Hawthorne St
Philadelphia, PA 19124
Phone (267) 235-9122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NPAMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871018416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 HAWTHORNE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19124",
            "telephone_number": "267-235-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 HAWTHORNE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241340",
            "telephone_number": "267-235-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTO",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "PA",
            "license": "N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.