Simon B. Sobo, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

023053 Issued in CT

Practice address

1 Aspetuck Ave
New Milford, CT 06776-2842

Phone

(860) 355-0314

Fax

(203) 270-3752

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Simon B. Sobo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144249160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ASPETUCK AVE",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762842",
            "telephone_number": "860-355-0314",
            "fax_number": "203-270-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ASPETUCK AVE",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762842",
            "telephone_number": "860-355-0314",
            "fax_number": "203-270-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBO",
        "first_name": "SIMON",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "023053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMON",
            "last_name": "SOBO",
            "middle_name": "B.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tracey Sheedy, R.P.A.-C
• Matthew Scott Sheldon, LMHC
• Silent Voices
• Aylin Sivri
• Monique Stephanie Slowley
• Frank Song Jr., ND
• Sonia Sousa
• Lauren Nancy Lopes Spencer
• Eloise Ribisl Stager, LMT
• Kevin Stanton, DMD

• Psychiatry Physician in New Milford, CT
• Providers in New Milford, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.