1750171492 NPI number — SONDER PSYCHIATRIC SERVICES, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750171492 NPI number — SONDER PSYCHIATRIC SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SONDER PSYCHIATRIC SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750171492
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2921 LANDMARK PLACE
Provider Second Line Business Mailing Address:
SUITE 215
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53713
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-949-2045
Provider Business Mailing Address Fax Number:
608-299-3795

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2921 LANDMARK PLACE
Provider Second Line Business Practice Location Address:
SUITE 215
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-949-2045
Provider Business Practice Location Address Fax Number:
608-299-3795
Provider Enumeration Date:
05/07/2025

Additional Information

Authorized Official

Authorized Official Last Name:
BARTON
Authorized Official First Name:
ALLISON
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
OWNER OF SONDER PSYCHIATRIC SERVICE
Authorized Official Telephone Number:
608-949-2045

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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