Active NPI
Joann Sorento, PH.D.
- Clinical Psychologist
- Ketchum, ID
National Provider Identifier
1902146186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY421
- Practice address
- 323 Lewis St.
Ketchum, ID 83340 - Phone
- (208) 726-1903
- NPI assigned
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY421 | ID | Primary |
Addresses
Primary practice location
323 Lewis St.
Ketchum, ID 83340
Mailing address
PO Box 524
Ketchum, ID 83340-0524
Phone (208) 726-1903
Other names 1
- Dr. Joann Sorento
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY421 | ID | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1902146186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 524",
"city": "KETCHUM",
"state": "ID",
"postal_code": "833400524",
"telephone_number": "208-726-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 LEWIS ST.",
"city": "KETCHUM",
"state": "ID",
"postal_code": "83340",
"telephone_number": "208-726-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENTO",
"first_name": "JOANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ID",
"license": "PSY421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANN",
"last_name": "SORENTO",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Ketchum, ID
- Keith Thomas Sivertson, M.D.
- Alison Ellan Smart, MS, ATC
- Rene Thomas Smey, OTR/L
- Ali Smith, LCPC
- Deboarh Snider, CCH
- Wayne Julian Spector, D.M.D.
- St Luke's Medical Center Wood River LTD (St Lukes Clinic Woodriver - Anesthesia)
- St Lukes Clinic - Wood River LLC
- St Lukes Medical Center Woodriver (St Lukes Clinic Woodriver)
- St Lukes Medical Center Woodriver LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.