Samuel Abram Bobrow, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1624 Issued in NJ

Practice address

1901 John F Kennedy Blvd Apt 2706
Philadelphia, PA 19103-1523

Phone

(856) 981-3607

Fax

(856) 589-3805

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Washington Psychological Services

  • Clinical Psychologist
  • Sewell, NJ
  • NPI 1437273869
  NPD (past) Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1124074174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 JF KENNEDY BLVD APT 2706",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191031523",
            "telephone_number": "856-981-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 JOHN F KENNEDY BLVD APT 2706",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031523",
            "telephone_number": "856-981-3607",
            "fax_number": "856-589-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROW",
        "first_name": "SAMUEL",
        "middle_name": "ABRAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PSO16076",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "1624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara M Boben, CRNP
• Carley Bober, CRNP
• Kenneth G Boberick, D.M.D.
• Mackenzie Grace Bobiy, DPM
• Sergey Bobrovnikov, DDS
• Brendan Francis Bobzien
• Steven F Boc, DPM
• Anne Bocage, MD
• Anna Bocanelli, PA-C
• Lauren Boccagno

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.