Andrew Sungdo Son

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC012648 Issued in PA

Practice address

1610 Medical Dr Ste 310
Pottstown, PA 19464-3293

Phone

(610) 970-5000

NPI assigned

Sep 9, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1982219770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MEDICAL DR STE 310",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643293",
            "telephone_number": "610-970-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MEDICAL DR STE 310",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643293",
            "telephone_number": "610-970-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON",
        "first_name": "ANDREW",
        "middle_name": "SUNGDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "012648",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC012648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
            "identifier": "PC012648",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982219770",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katlyn Marie Sodon, MA
• James Sofranko, M.ED.
• Abigail Solomon
• Brian A. Solomon, M.D.
• Charlotte Solomon, PA-C
• Dennis Song
• Wei Song, M.D.
• Maha Sonsino, COUNSELOR
• Alysha Soto
• Erin Soulliard

• Counselor in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.