Judy M Sobczak PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

006823 Issued in MI

Legal business name

JUDY M SOBCZAK PHD PC

Practice address

28175 Haggerty Road
Suite 101
Novi, MI 48377-2903

Phone

(248) 994-7690

Fax

(248) 994-7691

NPI assigned

Feb 12, 2008

Last updated

Feb 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judy Marie Sobczak, PHDNPI 1871502393

Title

Licensed Psychologist

Phone

(248) 994-7690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Judy Marie Sobczak, PHD

  • Clinical Psychologist
  • Novi, MI
  • NPI 1871502393
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1316115421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28175 HAGGERTY ROAD",
            "address_2": "SUITE 101",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772903",
            "telephone_number": "248-994-7690",
            "fax_number": "248-994-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28175 HAGGERTY ROAD",
            "address_2": "SUITE 101",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772903",
            "telephone_number": "248-994-7690",
            "fax_number": "248-994-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY M SOBCZAK PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "SOBCZAK",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-994-7690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "006823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Joshowitz, D.O.
• Melissa Jowett
• Robin Joyce
• Jessica Judis
• Kelly R Judson
• Julia S. Greer, M.D., PLLC
• Elizabeth Julian
• Serena Lynn Julius
• Laura Jung, RN
• Kevin Jurado

• Clinical Psychologist in Novi, MI
• Providers in Novi, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.

Verify at the official NPI Registry.