Sondermind Provider Network Llc

LBN: Sondermind Provider Network Llc
Sondermind Provider Network Llc is an health care organization with primary practice located at 90 Canal St Ste 4 , Boston MA 02114-2022. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Sondermind Provider Network Llc can be contacted via phone (844) 843-7279, or through Roach, Tanya via phone (970) 329-7161.

Contact Information

Primary practice address
90 Canal St Ste 4 Boston MA 02114-2022
Phone: (844) 843-7279
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roach, Tanya
Phone: (970) 329-7161

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1417800293
LBN Legal business name Sondermind Provider Network Llc
DBA Doing business as
Authorized official Roach, Tanya
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2026
Last updated Feb 19th, 2026 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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