TONY JOHN SORENSEN PSY.D.
NPI 1861669772
Psychologist - Clinical in Sioux Falls, SD

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
4400 W 69TH ST, STE. 500, SIOUX FALLS, SD 57108(605) 322-7580(605) 322-7579 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tony John Sorensen Psy.d. NPPES

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

TONY JOHN SORENSEN PSY.D. (NPI 1861669772) is an individual clinical provider in Sioux Falls, South Dakota, licensed in South Dakota (523) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1861669772
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTONY JOHN SORENSENCredential: PSY.D.
Location Address4400 W 69TH ST, STE. 500Sioux Falls, SD 57108-8171
Mailing Address2400 S. Minnesota Ave., Ste. 100Sioux Falls, SD 57105-3762 · (605) 322-7510
Fax(605) 322-7579
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 9, 2008
Last NPPES UpdateSeptember 10, 2014
NPI 1861669772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in SD · 523 Licensed in MN · LP4918
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4400 W 69TH ST, Sioux Falls, SD 57108

Accepted Insurance

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

Tony John Sorensen Psy.d. 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 ID5597836320
PECOS Enrollment IDI20141124001852
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
25 services13 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
16 services14 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services14 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
14 services14 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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
$167.23 typical visit price
range $55.52 – $167.23
Typical copayment $41.80 (range $13.88 – $41.80)
Most-billed visit code 99205
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

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.

Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Nurse Practitioner (Psychiatric/Mental Health)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Student in an Organized Health Care Education/Training Program
4400 W 69TH ST
SIOUX FALLS, SD 57108
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Physician Assistant
4400 W 69TH ST
SIOUX FALLS, SD 57108
Counselor (Mental Health)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Pharmacist
4400 W 69TH ST, SUITE 1800
SIOUX FALLS, SD 57108

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 Tony Sorensen's NPI number?

The NPI number for Tony Sorensen is 1861669772. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Tony Sorensen located?

Tony Sorensen practices at 4400 W 69th St Ste. 500, Sioux Falls, SD 57108. The listed phone number is (605) 322-7580.

What is Tony Sorensen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tony Sorensen enrolled in Medicare?

Yes. Tony Sorensen 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.

What insurance does Tony Sorensen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Tony Sorensen 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.

Is Tony Sorensen affiliated with any hospitals?

According to CMS data, Tony Sorensen is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Tony Sorensen was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.