Individual provider Active NPI

Emily Jeanne Sonenshein, PSY.D.

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1972937175
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017427 Issued in PA
Practice address
100 South Broad St.
Suite 1114
Philadelphia, PA 19110-1024
Phone
(215) 913-1195
NPI assigned
Aug 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS017427 PA Primary

Addresses

Primary practice location

100 South Broad St.
Suite 1114
Philadelphia, PA 19110-1024

Mailing address

221 Harrogate Rd
Wynnewood, PA 19096-3129
Phone (215) 913-1195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS017427PAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1972937175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HARROGATE RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963129",
            "telephone_number": "215-913-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH BROAD ST.",
            "address_2": "SUITE 1114",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101024",
            "telephone_number": "215-913-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONENSHEIN",
        "first_name": "EMILY",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-25",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.