SANDRA KUPERMAN SONDELL (NPI# 1417968207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417968207 |
| Entity Type | Individual |
| Full Name | SANDRA KUPERMAN SONDELL |
| Credential | PH.D. |
| Practice Address |
3021 Harbor Ln N Suite 210 Plymouth MN 55447-5109 |
| Practice Telephone | 7635597050 |
| Practice Fax Number | 7635597060 |
| Mailing Telephone | 7635597050 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2009-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP4585 | MN | Behavioral Health & Social Service Providers |
| Street Address |
3021 HARBOR LN N SUITE 210 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356794739 | Katie Marie Walker | Marriage & Family Therapist | 3021 Harbor Ln N, Suite 206, Plymouth, MN 55447-5109 | 2016-07-20 |
| 1396100046 | Jamie Lynn Giles | Clinical Nurse Specialist | 3021 Harbor Ln N, Suite 206, Plymouth, MN 55447-5109 | 2015-12-23 |
| 1003195942 | Plymouth Psych Group, LLC | Counselor | 3021 Harbor Ln N, Suite 206, Plymouth, MN 55447-5109 | 2011-08-10 |
| 1386952125 | Kara Elaine Pilon Reil | Counselor | 3021 Harbor Ln N, Plymouth, MN 55447-5109 | 2010-09-14 |
| 1477878684 | Kathleen Patricia Wessel | Social Worker | 3021 Harbor Ln N, Suite 210, Plymouth, MN 55447-5109 | 2010-03-30 |
| 1548428808 | Israel O Sokeye | Psychiatry & Neurology | 3021 Harbor Ln N, #206, Plymouth, MN 55447-5109 | 2008-05-23 |
| 1295902658 | J.beck Chiropractic & Wellness, P.a. | Chiropractor | 3021 Harbor Ln N, Suite 109, Plymouth, MN 55447-5109 | 2008-05-14 |
| 1164626230 | Pinnacle Chiropractic and Acupuncture, Pa | Chiropractor | 3021 Harbor Ln N, Suite 109, Plymouth, MN 55447-5109 | 2007-06-13 |
| 1548475536 | Jonathan E. Beck | Chiropractor | 3021 Harbor Ln N, Suite 109, Plymouth, MN 55447-5109 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264760 | Tasha Leno | Psychologist | 595 Forest Ave Ste 7a, Plymouth, MI 48170-1777 | 2018-08-10 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1952891038 | Charles Francis Carroll | Psychologist | 17 Alvin Rd, Plymouth, MA 02360-3920 | 2018-05-15 |
| 1861914863 | Steven Schwartz | Psychologist | 12431 Howland Park Dr, Plymouth, MI 48170-2894 | 2017-07-11 |
| 1366827016 | Juliann Knochel | Psychologist | 42325 Ann Arbor Rd E, Plymouth, MI 48170-4356 | 2015-07-23 |
| 1851781959 | Stephen Mangin | Psychologist | 42245 Ann Arbor Rd E Ste 101, Plymouth, MI 48170-4311 | 2015-01-27 |
| 1649683517 | Heather M Delcourt | Psychologist | 595 Forest Ave Ste 11a, Plymouth, MI 48170-1777 | 2014-06-08 |
| 1952730723 | Amanda Michelle Henderson Bills | Psychologist | 199 N Main St Ste 200, Plymouth, MI 48170-1286 | 2013-11-02 |
| 1255779492 | Heather D Haggerty | Psychologist | 340 N Main St Ste 201, Plymouth, MI 48170-1290 | 2013-06-10 |
| 1164705471 | Ruth C. Rowbotham | Psychologist | 225 Water St Ste A115, Plymouth, MA 02360-4060 | 2011-09-22 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.