| Sondermind, P.a. | |
|
801 E Douglas Ave Fl 2 Wichita KS 67202-3548 | |
| (844) 843-7279 | |
| Not Available |
| Full Name | Sondermind, P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 801 E Douglas Ave Fl 2, Wichita, Kansas |
| Authorized Official Name and Position | Doug Newton (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6088865835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sondermind, P.a. 801 E Douglas Ave Fl 2 Wichita KS 67202-3548 Ph: () - | Sondermind, P.a. 801 E Douglas Ave Fl 2 Wichita KS 67202-3548 Ph: (844) 843-7279 |
| NPI Number | 1710647581 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Medicare PECOS PAC ID | 3577099621 |
|---|---|
| Medicare Enrollment ID | O20241212000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710647581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Teauania Charles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669778189 PECOS PAC ID: 2466841374 Enrollment ID: I20230711002353 |
| Provider Name | Donald Hupp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568654242 PECOS PAC ID: 6507950201 Enrollment ID: I20240131004048 |
| Provider Name | Scott Kaminsky |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619251238 PECOS PAC ID: 3971841578 Enrollment ID: I20241218000920 |
| Provider Name | Samantha Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598148504 PECOS PAC ID: 4880045715 Enrollment ID: I20241218001691 |
| Provider Name | Anne Brubacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265023022 PECOS PAC ID: 0446639884 Enrollment ID: I20241218003327 |
| Provider Name | Marissa Rose Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225537434 PECOS PAC ID: 9830536770 Enrollment ID: I20241223000114 |
| Provider Name | Irene O Omoregie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750038592 PECOS PAC ID: 6406383884 Enrollment ID: I20241224001250 |
| Provider Name | Derrick Prichard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710923024 PECOS PAC ID: 1153639372 Enrollment ID: I20250312002421 |
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