Sonny Wellness Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SONNY WELLNESS CENTER LLC

Practice address

4228 Washington St
Boston, MA 02131-2561

Phone

(617) 286-2017

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Daisha Roberts, LICSW, CCTPNPI 1619685716

Title

Owner

Phone

(617) 286-2017

Specialties & licenses 1

Addresses

Other names 1

• SONNY WELLNESS CENTER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daisha Roberts

  • Clinical Social Worker
  • Boston, MA
  • NPI 1619685716
  NPD Authorized official

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1992520670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021312561",
            "telephone_number": "617-286-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021312561",
            "telephone_number": "617-286-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DAISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-286-2017",
        "authorized_official_credential": "LICSW, CCTP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SONNY WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Ann Sonis, DNP, AGPNP
• Stephen T Sonis, DMD
• Lillian Sonnenberg
• Kendrin R Sonneville, RD
• Sangeetha Sonney
• Abraham Sonny, M.D.
• Evan Sood
• Natasha Sood, MD, MPH, MED
• Shreya Sood, M.D.
• Alan Moy Sooho, M.D.

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.