Organization Active NPI

Tri Cities Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1922715473
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Mr. Drew J Sonderland, PMHNPNPI 1740806710
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1740806710MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tricitiespsychiatry@protonmail.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.