Janet Modad Soeprono, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD60479280 Issued in WA

Practice address

2955 80TH Ave SE Ste 206
Mercer Island, WA 98040-2975

Phone

(509) 724-0212

Fax

(206) 257-5085

NPI assigned

May 27, 2010

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

Credentials

Doctor of Medicine

State licenses

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.

• Wellspring Family Services

  • Case Management Agency
  • Seattle, WA
  • NPI 1417218025
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1982923108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 80TH AVE SE STE 206",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402975",
            "telephone_number": "509-724-0212",
            "fax_number": "206-257-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 80TH AVE SE STE 206",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402975",
            "telephone_number": "509-724-0212",
            "fax_number": "206-257-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOEPRONO",
        "first_name": "JANET",
        "middle_name": "MODAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60479280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Lawrence Sloan, M.D.
• Laura S. Smith, LAURA S. SMITH, M.S.
• Amy Cathleen Smolinski, ARNP
• Mason Snodgrass, PT
• Soaper LLC
• Sole Expressions
• Celina Solomon, ATC
• Sonja Bradford, Ms CCC-SLP, PLLC
• Soper Enterprises Mercer Island, PLLC
• Sound Children'S Therapy PLLC

• Psychiatry Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.