1. Home
  2. Directory
  3. Maryland
  4. Owings Mills
  5. Nurse Practitioner
  6. NPI Profile

DERICK SONJONG PMHNP-BC
NPI 1851047690
Nurse Practitioner - Psychiatric/Mental Health in Owings Mills, MD

Active since March 01, 2022PECOS EnrolledAccepts Medicare Assignment
4507 LYONS RUN CIR APT T3, OWINGS MILLS, MD 21117(571) 277-0779 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derick Sonjong Pmhnp-bc NPPES

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

DERICK SONJONG PMHNP-BC (NPI 1851047690) is an individual psychiatric/mental health provider in Owings Mills, Maryland, licensed in Maryland (R204750) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851047690
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDERICK SONJONGCredential: PMHNP-BC
Location Address4507 LYONS RUN CIR APT T3Owings Mills, MD 21117-6979
Mailing Address4507 Lyons Run Cir Apt T3Owings Mills, MD 21117-6979 · (571) 277-0779
Phone(571) 277-0779
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1851047690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R204750
4507 LYONS RUN CIR APT T3, Owings Mills, MD 21117
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derick Sonjong Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799130704
PECOS Enrollment IDI20231011002916
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Derick Sonjong's NPI number?

The NPI number for Derick Sonjong is 1851047690. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Where is Derick Sonjong located?

Derick Sonjong practices at 4507 Lyons Run Cir Apt T3, Owings Mills, MD 21117. The listed phone number is (571) 277-0779.

What is Derick Sonjong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Derick Sonjong enrolled in Medicare?

Yes. Derick Sonjong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Derick Sonjong was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.