Sofia K Jensen, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD443957 Issued in PA

Practice address

191 Presidential Blvd Ste W10
Bala Cynwyd, PA 19004-1205

Phone

(610) 215-7050

NPI assigned

May 19, 2009

Last updated

Sep 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 24, 2022 through Mar 24, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jensen Psychiatry, PLLC

  • Psychiatry Physician
  • Bala Cynwyd, PA
  • NPI 1831864271
  NPD Authorized official

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1053546119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W LANCASTER AVE # 1020",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103401",
            "telephone_number": "610-215-7050",
            "fax_number": "610-273-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PRESIDENTIAL BLVD STE W10",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041205",
            "telephone_number": "610-215-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "SOFIA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2021-09-11",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT195441",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD443957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson Ambulatory Surgery Services, LLC (Jeffeson Endoscopy Center at Bala)
• Jefferson Community Physicians
• Jefferson University Physicians (Jefferson Comprehensive Weight Management Program)
• Jensen Psychiatry, PLLC
• Matthew Jensen, PHARMD
• Jewish Community Homes
• Jewish Community Homes for Adult Independence
• Jewish Family & Childrens Serv
• Matthew M. Jezzi, PHD
• JGS Physical Therapist Inc.

• Psychiatry Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.