DR. KEITH SONNANBURG (NPI# 1982756631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982756631 |
| Entity Type | Individual |
| Full Name | DR. KEITH SONNANBURG |
| Credential | PH.D. |
| Practice Address |
1818 Westlake Ave N Suite 122 Seattle WA 98109-2777 |
| Mailing Address |
10924 Mukilteo Speedway # 274 Mukilteo WA 98275-5022 |
| Practice Telephone | 2066543338 |
| Mailing Telephone | 2066543338 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 1704 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1818 WESTLAKE AVE N SUITE 122 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-2777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750365599 | Janet D Hesslein | Social Worker | 1818 Westlake Ave N, #329, Seattle, WA 98109-2778 | 2005-12-05 |
| 1962887547 | Terah Bruce | Massage Therapist | 1818 Westlake Ave N, Ste 4-2, Seattle, WA 98109-2777 | 2015-07-24 |
| 1861747107 | Lisa Marie Horschman | Dentist | 1818 Westlake Ave N, Suite #114, Seattle, WA 98109-2777 | 2012-07-23 |
| 1316203540 | Body Smith Chiropractic LLC | Preferred Provider Organization | 1818 Westlake Ave N, Ste 330, Seattle, WA 98109-2777 | 2012-04-02 |
| 1033418884 | Jeff D Shushan | Counselor | 1818 Westlake Ave N, Seattle, WA 98109-2777 | 2011-03-18 |
| 1588962427 | Kjersti Marie Sangrey | Acupuncturist | 1818 Westlake Ave N, Suite 126, Seattle, WA 98109-2777 | 2011-03-01 |
| 1871890517 | Dr Sarah Deam, Dc Pllc | Chiropractor | 1818 Westlake Ave N, Suite 304, Seattle, WA 98109-2777 | 2011-02-15 |
| 1407166879 | Keri Anne Shaw | Acupuncturist | 1818 Westlake Ave N, Ste 126, Seattle, WA 98109-2777 | 2010-10-19 |
| 1639496367 | Carolina Gutierrez | Massage Therapist | 1818 Westlake Ave N, Seattle, WA 98109-2777 | 2010-04-20 |
| 1982837589 | Harry Ariel Atlas | Psychologist | 1818 Westlake Ave N, 122, Seattle, WA 98109-2777 | 2009-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1659910057 | Caitlin Stanaway | Psychologist | 7615 S 134th St, Seattle, WA 98178-5112 | 2020-01-02 |
| 1407495211 | Ellen A. Begley, Ph.d. Pllc | Psychologist | 3417 Fremont Ave N Ste 316, Seattle, WA 98103-3411 | 2019-12-26 |
| 1649735580 | Jennifer Savion | Psychologist | 2800 E Madison St Ste 306, Seattle, WA 98112-4865 | 2019-02-05 |
| 1073084935 | Ann Marie Roepke | Psychologist | 4741 Rainier Ave S, Seattle, WA 98118-1657 | 2018-12-17 |
| 1801399431 | Jessica Lynn Peterson | Psychologist | Chdd 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2018-03-09 |
| 1144676842 | Alisa Horwitz | Psychologist | 2855 31st Ave W, Seattle, WA 98199-2722 | 2016-05-11 |
| 1982065611 | Sara Eagan | Psychologist | 2470 Westlake Ave N Ste 102, Seattle, WA 98109 | 2016-03-08 |
| 1679933899 | Yu Ding | Psychologist | 330 3rd Ave W, 520, Seattle, WA 98119-4180 | 2016-03-01 |
| Find all providers in SEATTLE | ||||
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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.