SONDERMIND PROVIDER NETWORK LLC - NPI 1417800293

Q: What is Sondermind Provider Network LLC's NPI number?

The NPI number for Sondermind Provider Network LLC is 1417800293. It was assigned to this organization in the NPPES registry on February 19, 2026.

Q: What is Sondermind Provider Network LLC's specialty?

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

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About Sondermind Provider Network Llc NPPES

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

SONDERMIND PROVIDER NETWORK LLC (NPI 1417800293) is a healthcare organization registered as a clinical in Boston, Massachusetts and active in the NPI registry since February 2026. The organization lists Tanya Roach, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1417800293

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSONDERMIND PROVIDER NETWORK LLC

Location Address90 CANAL ST STE 4Boston, MA 02114-2022

Mailing AddressPo Box 738012Dallas, TX 75373-8012

Phone(844) 843-7279

Organization SubpartNo

Authorized OfficialTanya RoachCredentialing Manager · (970) 329-7161

Enumeration DateFebruary 19, 2026

NPPES CertifiedFebruary 19, 2026

✔ NPI 1417800293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

90 CANAL ST STE 4, Boston, MA 02114

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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

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.

LESLEY GARCIA

Behavior Technician