Active NPI
Tri Cities Psychiatry, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Kennewick, WA
National Provider Identifier
1922715473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- TRI CITIES PSYCHIATRY, PLLC
- Practice address
- 1030 N Center Pkwy Ste 121
Kennewick, WA 99336-7160 - Phone
- (509) 737-0054
- NPI assigned
- Nov 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Drew J Sonderland, PMHNP
- Title
- Owner
- Phone
- (509) 942-4475
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1030 N Center Pkwy Ste 121
Kennewick, WA 99336-7160
Mailing address
1030 N Center Pkwy Ste 121
Kennewick, WA 99336-7160
Phone (509) 737-0054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740806710 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tricitiespsychiatry@protonmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
1030 N Center Pkwy
Ste 121
Kennewick, WA 99336
Phone (509) 737-0054
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Kennewick, WA
- NPI 1740806710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1922715473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 N CENTER PKWY STE 121",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367160",
"telephone_number": "509-737-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 N CENTER PKWY STE 121",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367160",
"telephone_number": "509-737-0054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI CITIES PSYCHIATRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "SONDERLAND",
"authorized_official_first_name": "DREW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-942-4475",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740806710",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tricitiespsychiatry@protonmail.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1030 N Center Pkwy Ste 121",
"city": "Kennewick",
"state": "WA",
"country_code": "US",
"postal_code": "993367160",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kennewick, WA
- Rebecca Traynham, APRN, FNP-C
- Jose Guadalupe Trevino Sr.
- Tri Cities Community Health (Tri Cities Community Health Kennewick Pharmacy)
- Tri Cities Midwifery
- Tri Cities OB and GYN PC
- Tri Cities Residential Servies
- Tri City Dental Care, PLLC
- Tri City Ear Nose & Throat PS
- Tri City Orthopaedic Clinic, P S C
- Tri City Radiology Inc PS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.