Active NPI
Kathryn D Sobrado, PSYD
- Clinical Psychologist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9570
- Practice address
- 8525 SW 92ND St Ste D17
Miami, FL 33156-7378 - Phone
- (305) 857-5134
- NPI assigned
- Nov 4, 2019
- Last updated
- Feb 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY9570 | FL | Primary |
Addresses
Primary practice location
8525 SW 92ND St Ste D17
Miami, FL 33156-7378
Mailing address
8525 SW 92ND St Ste D17
Miami, FL 33156-7378
Phone (305) 857-5134
Other names 1
- Dr. Katy Sobrado
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9570 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Current | Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
1201 Hays St
Tallahassee, FL 32301
Phone (855) 522-7233
3033 Campus Dr
Ste W225
Plymouth, MN 55441
Phone (415) 429-6977
Interoperability endpoints
- katy.sobrado.1@30520.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1396389292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8525 SW 92ND ST STE D17",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567378",
"telephone_number": "305-857-5134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8525 SW 92ND ST STE D17",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567378",
"telephone_number": "305-857-5134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBRADO",
"first_name": "KATHRYN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATY",
"last_name": "SOBRADO",
"prefix": "DR.",
"credential": "PSYD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.