Active NPI
Sonny Valooran Joseph, MD
- Psychiatry Physician
- Orlando, FL
National Provider Identifier
1982709812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME57663
- Practice address
- 9430 Turkey Lake Road
204
Orlando, FL 32819-8015 - Phone
- (407) 354-5290
- Fax
- (407) 370-3411
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME57663 | FL | Primary |
Addresses
Primary practice location
9430 Turkey Lake Road
204
Orlando, FL 32819-8015
Mailing address
9430 Turkey Lake Road
204
Orlando, FL 32819-8015
Phone (407) 354-5290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2020 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247097600000",
"number": "1982709812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9430 TURKEY LAKE ROAD",
"address_2": "204",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198015",
"telephone_number": "407-354-5290",
"fax_number": "407-370-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 TURKEY LAKE ROAD",
"address_2": "204",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198015",
"telephone_number": "407-354-5290",
"fax_number": "407-370-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "SONNY",
"middle_name": "VALOORAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2009-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME57663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.