Individual provider Active NPI

Steven Neil Sobel, MD

  • Psychiatry Physician
  • Saint Albans, VT
National Provider Identifier
1043286677
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042-0008771 Issued in VT
Practice address
107 Fisher Pond Rd
St Albans, VT 05478-6286
Phone
(802) 524-6555
Fax
(802) 524-6562
NPI assigned
Feb 24, 2006
Last updated
Apr 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 042-0008771 VT Primary

Addresses

Primary practice location

107 Fisher Pond Rd
St Albans, VT 05478-6286

Mailing address

107 Fisher Pond Rd
Saint Albans, VT 05478-6286

Other identifiers 6

IdentifierTypeStateIssuer
079338OtherVTVALUE OPTIONS
220696OtherVTMHN
29651OtherVTBCBS
15736OtherVTCIGNA
0VN0756MedicaidVT
260023205OtherVTRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000308 VT Practitioner - Psychiatry 7012930514 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0008771VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Behavioral Medicine PLLC Psychiatry CurrentSince Oct 1, 2019 Accepting new patients
The Richford Health Center Inc PastSince Sep 5, 2023 Accepting new patients

Locations

8 Broad St
Plattsburgh, NY 12901
Phone (518) 563-8880

441 Watertower Cir
#200
Colchester, VT 05446
Phone (802) 404-1492

107 Fisher Pond Rd
Saint Albans, VT 05478
Phone (802) 393-6412

107 Fisher Pond Rd
Ofc 121A
Saint Albans, VT 05478

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1043286677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FISHER POND RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FISHER POND RD",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "054786286",
            "telephone_number": "802-524-6555",
            "fax_number": "802-524-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBEL",
        "first_name": "STEVEN",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0008771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "079338",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "220696",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29651",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "15736",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0756",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260023205",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.