SONDERMIND PC
NPI 1003646977
Social Worker - Clinical in San Jose, CA

Q: What is Sondermind PC's NPI number?

The NPI number for Sondermind PC is 1003646977. It was assigned to this organization in the NPPES registry on August 6, 2024.

Q: What is Sondermind PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Sondermind PC was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 06, 2024

6203 SAN IGNACIO AVE STE 110, SAN JOSE, CA 95119(844) 843-7279 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2024, Aug 6, 2024 (2 updates tracked since 2024).

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About Sondermind Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONDERMIND PC (NPI 1003646977) is a healthcare organization registered as a clinical in San Jose, California and active in the NPI registry since August 2024. The organization lists Tanya Roach, Chief Administrative Cred Officer, as its authorized official.

NPPES Registry Identity

NPI1003646977

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSONDERMIND PC

Location Address6203 SAN IGNACIO AVE STE 110San Jose, CA 95119-1358

Mailing Address6203 San Ignacio Ave Ste 110San Jose, CA 95119-1358 · (844) 843-7279

Phone(844) 843-7279

Organization SubpartNo

Authorized OfficialTanya RoachChief Administrative Cred Officer · (844) 843-7279

Enumeration DateAugust 6, 2024

Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration

NPPES CertifiedNovember 22, 2024

✔ NPI 1003646977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

6203 SAN IGNACIO AVE STE 110, San Jose, CA 95119

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas.Insurance ›

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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