MARY JANE SONNTAG PSYD PA NPI 1043430036

NPI Information

NPI: 1043430036
Provider Name: MARY JANE SONNTAG PSYD PA

Doing Business As: CENTER FOR STRESS REDUCTION

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
9 HALSTED CIRCLE
ROGERS, AR
ZIP 72756
Phone: (479) 631-6400
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MARY JANE SONNTAG PSYD PA is a mental health (including community mental health center) clinic center in Rogers, AR. MARY JANE SONNTAG PSYD PA NPI is 1043430036. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Stress Reduction.

The provider's business location address is:

9 HALSTED CIRCLE
ROGERS, AR
ZIP 72756
Phone: (479) 631-6400
Fax: (479) 631-6466

The provider's authorized official is Mary Jane Sonntag .
The authorized official title is Owner and has the following contact phone number (479) 631-6400.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5C136	OTHER		BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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