Stephanie I Sorensen, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

023065 Issued in NY

Practice address

352 7TH Ave RM 801
New York, NY 10001-5655

Phone

(646) 418-1172

NPI assigned

Feb 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Center for Personal Growth & Wellness LLC

  • Psychologist
  • New York, NY
  • NPI 1851732713
  NPD (past)

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1972068963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W 121ST ST APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276474",
            "telephone_number": "646-436-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 7TH AVE RM 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015655",
            "telephone_number": "646-418-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "STEPHANIE",
        "middle_name": "I",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Sorensen
• Chris Sorensen
• Jessica Marie Sorensen
• Nicolette Katherine Sorensen, MS, OTR/L
• Rachelle Hockney Sorensen, RPH
• Mary Alistair Sorenson-Conlan
• John A Sorenson, MD
• Rebecca Kate Sorenson, FNP
• Thomas Joseph Sorenson, MD
• Trent Robert Sorenson, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.