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 23 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: October 25, 2026.

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

On this page

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, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sondermind Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

283

Medicare enrollment records show 283 clinicians reassign Medicare billing to Sondermind PC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Clinical Social Worker139

Mental Health Counselor84

Nurse Practitioner30

Marriage and Family Therapist19

Psychiatry8

Clinical Psychologist3

Nearest to this location (20)

See all 283

Ashwini Gupta, MFT

Marriage and Family Therapist

NPI 1740305986

2625 ZANKER RD
San Jose, CA 95134

(408) 307-9024

✔ PECOS✔ Accepts Medicare13 mi

Elizabeth Santiago, LCSW

Clinical Social Worker

NPI 1871627893

1270 NATIVIDAD RD RM 200
Salinas, CA 93906

(831) 784-2168

✔ PECOS38 mi

Karen Torres

Clinical Social Worker

NPI 1689332777

6 LOWER RAGSDALE
Monterey, CA 93940

(831) 642-6201

✔ PECOS46 mi

Maria Estante, LMFT, LPCC

Marriage and Family Therapist

NPI 1225463029

2120 CONTRA COSTA BLVD # 1172
Pleasant Hill, CA 94523

(323) 705-4410

✔ PECOS51 mi

Diane Policelli, LMFT CATC

Marriage and Family Therapist

NPI 1649504580

1440 CHINOOK CT
San Francisco, CA 94130

(415) 746-1967

✔ PECOS52 mi

Joy Nnebe, PMHNP, RN

Nurse Practitioner

NPI 1205601507

7707 AUSTIN RD
Stockton, CA 95215

(209) 467-2596

✔ PECOS✔ Accepts Medicare56 mi

Patience Morikang, PMHNP

Nurse Practitioner

NPI 1689349698

1111 W ROBINHOOD DR STE L
Stockton, CA 95207

(844) 867-8444

✔ PECOS58 mi

Anita Acevedo, LCSW

Clinical Social Worker

NPI 1447572508

301 MONTECITO AVE
Corte Madera, CA 94925

(415) 686-4379

✔ PECOS63 mi

Roberta Gordin, RN, PMHNP-BC

Nurse Practitioner

NPI 1518458793

4040 CIVIC CENTER DR
San Rafael, CA 94903

(415) 795-8050

✔ PECOS✔ Accepts Medicare68 mi

Charlin Lumia, LMFT

Marriage and Family Therapist

NPI 1003163791

801 EMPIRE ST
Fairfield, CA 94533

(707) 425-5744

✔ PECOS✔ Accepts Medicare71 mi

Priya Sowerby

Marriage and Family Therapist

NPI 1679584965

25 WESTERN AVE
Petaluma, CA 94952

(707) 526-8300

✔ PECOS83 mi

Keith Kilburn, MFT

Marriage and Family Therapist

NPI 1518063494

25 WESTERN AV
Petaluma, CA 94952

(707) 526-8306

✔ PECOS✔ Accepts Medicare83 mi

Leslie Cooley, LPCC

Mental Health Counselor

NPI 1740701697

6615 VALLEY HI DR
Sacramento, CA 95823

(916) 450-2650

✔ PECOS87 mi

Dorinda Wiseman, LCSW

Clinical Social Worker

NPI 1154638310

1104 CORPORATE WAY
Sacramento, CA 95831

(916) 698-1592

✔ PECOS88 mi

Lori Baker, LCSW

Clinical Social Worker

NPI 1437886215

3160 FOLSOM BLVD
Sacramento, CA 95816

(916) 731-1831

✔ PECOS93 mi

Roberta Iyamu

Nurse Practitioner

NPI 1710596762

350 UNIVERSITY AVE STE 102
Sacramento, CA 95825

(844) 867-8444

✔ PECOS94 mi

Navneet Dhaliwal, FNP-C

Nurse Practitioner

NPI 1679123780

685 W ALLUVIAL AVE STE 103
Fresno, CA 93711

(559) 499-1233

✔ PECOS✔ Accepts Medicare112 mi

Shanekka Brown-Johnson, LMFT

Marriage and Family Therapist

NPI 1528629623

5588 N PALM AVE
Fresno, CA 93704

(860) 469-5439

✔ PECOS113 mi

Crystal Harris, LCSW

Clinical Social Worker

NPI 1083267165

30750 SIMPSON LN
Fort Bragg, CA 95437

(970) 903-1761

✔ PECOS✔ Accepts Medicare184 mi

Jennifer Weniger, PH.D.

Clinical Psychologist

NPI 1316968894

LOMA LINDA BEHAVIORAL MEDICINE CENTER 1710 BARTON RD.
Redlands, CA 72372

(909) 558-9325

✔ PECOS338 mi

See all 283 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Sondermind PC located?

Sondermind PC is located at 6203 San Ignacio Ave Ste 110, San Jose, CA 95119. The listed phone number is (844) 843-7279.

What is Sondermind PC's specialty?

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

Is Sondermind PC enrolled in Medicare?

Yes. Sondermind PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sondermind PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 283 clinicians in 6 Medicare specialties reassign their Medicare billing to Sondermind PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (139), Mental Health Counselor (84) and Nurse Practitioner (30). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sondermind PC accept?

Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Medica and Moda Health Plan, Inc. list Sondermind PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 23 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.