Individual provider Active NPI

Christopher James Sorensen, M.D.

  • Psychiatry Physician
  • Draper, UT
National Provider Identifier
1912228230
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12623875-1205 Issued in UT
Practice address
721 E 12200 S Ste 101
Draper, UT 84020-9723
Phone
(801) 369-8989
Fax
(801) 704-9741
NPI assigned
Jun 22, 2010
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R72057 AZ
Psychiatry Physician 2084P0800X 12623875-1205 UT Primary

Addresses

Primary practice location

721 E 12200 S Ste 101
Draper, UT 84020-9723

Mailing address

721 E 12200 S Ste 101
Draper, UT 84020-9723
Phone (801) 369-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220307001599 UT Practitioner - Psychiatry 4587980784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Numinus Wellness Ut IncGroup PAC ID 2163750688, 50 clinicians

Practice addresses (Care Compare)

672 W 400
Suite 201
Springville, UT 84663-3170
Phone (801) 369-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R72057AZMDPsychiatry Physician
12623875-1205UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Numinus Wellness Ut Inc Psychiatry CurrentSince Mar 1, 2022 Accepting new patients
Noetic Psychiatry, PLLC Psychiatry CurrentSince Mar 1, 2022 Accepting new patients
Ogden Internal Medicine & Urology LLC Past Accepting new patients

Locations

721 E 12200 S
#101
Draper, UT 84020

2950 N Church St
Ste 101
Layton, UT 84040
Phone (801) 771-7202

154 E Myrtle Ave
Ste 204
Salt Lake City, UT 84107
Phone (801) 266-9300

672 W 400 S
Ste 201
Springville, UT 84663
Phone (208) 680-8226

Interoperability endpoints

  • Direct secure messaging: christopher.sorensen.1@17324.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1912228230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 E 12200 S STE 101",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209723",
            "telephone_number": "801-369-8989",
            "fax_number": "801-704-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E 12200 S STE 101",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209723",
            "telephone_number": "801-369-8989",
            "fax_number": "801-704-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "R72057",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "12623875-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.