Active NPI
Richard M. Sobel M.D. LLC
- Psychiatry Physician
- Media, PA
National Provider Identifier
1215136395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD035260E
- Legal business name
- RICHARD M. SOBEL M.D. LLC
- Practice address
- 1245 N Providence Rd
Media, PA 19063-1210 - Phone
- (215) 731-1901
- Fax
- (215) 731-9503
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard M Sobel
- Title
- Owner
- Phone
- (215) 731-1901
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD035260E | PA | Primary |
Addresses
Primary practice location
1245 N Providence Rd
Media, PA 19063-1210
Mailing address
5565 N Barrasca Ave
Tucson, AZ 85750-6495
Phone (215) 731-1901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700808003 | Other | PA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6890 E Sunrise Dr
#120363
Tucson, AZ 85750
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1215136395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 N BARRASCA AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857506495",
"telephone_number": "215-731-1901",
"fax_number": "215-731-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 N PROVIDENCE RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631210",
"telephone_number": "215-731-1901",
"fax_number": "215-731-9503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD M. SOBEL M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "SOBEL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-731-1901"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD035260E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1700808003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.