Mark S Sofair-Fisch, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100432500 Issued in NJ

Practice address

2737 Princeton Pike
Lawrenceville, NJ 08648-3220

Phone

(609) 883-2577

NPI assigned

Jun 6, 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

Eligible to order & refer

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

Green means eligible to order or refer.

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.

• Mark S. Sofair-Fisch, PHD

  • Clinical Psychologist
  • Lawrenceville, NJ
  • NPI 1750413217

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Advance Thru Psychotherapy & Family Development, PA

  • Clinical Psychologist
  • Lawrenceville, NJ
  • NPI 1568594026
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1255370953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ELLIS ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523612",
            "telephone_number": "973-669-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 PRINCETON PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483220",
            "telephone_number": "609-883-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFAIR-FISCH",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC000043500",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100432500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel A Small, M.D.
• Kaitlin C Small, D.M.D.
• Lizbeth A Smith, DNP, APN.,C
• Gregory Smola, LCSW
• Gary Alan Smotrich, MD
• Tamara Sofair-Fisch, PHD
• Katherine Solway, NURSE PRACTITIONER
• Somnus DME
• Katie Soto, LAC,LCADC
• Sovereign Care Services

• Clinical Psychologist in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.