Sondermind Provider Network LLC
NPI 1417800293 · Clinical Social Worker · Boston, MA
Sondermind Provider Network LLC is a Clinical Social Worker organization in Boston, MA (NPI 1417800293).
Provider details
- NPI number
- 1417800293
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tanya Roach, Credentialing Manager(970) 329-7161
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-02-19
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Frequently asked questions
- What is Sondermind Provider Network LLC's NPI number?
- Sondermind Provider Network LLC's National Provider Identifier (NPI) is 1417800293, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sondermind Provider Network LLC?
- Sondermind Provider Network LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Sondermind Provider Network LLC located?
- Sondermind Provider Network LLC's practice location on file with NPPES is 90 Canal St Ste 4, Boston, MA 02114-2022.
- What is Sondermind Provider Network LLC's phone number?
- The practice phone number listed in the NPPES registry for Sondermind Provider Network LLC is (844) 843-7279.
- Who is the authorized official for Sondermind Provider Network LLC?
- The authorized official listed on Sondermind Provider Network LLC's NPPES record is Tanya Roach, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sondermind Provider Network LLC's NPI active?
- Yes — Sondermind Provider Network LLC's NPI (1417800293) is active in the NPPES registry as of the last update on 2026-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.