Active NPI
Andrea M. Sochaczewski, PSYD
- Psychologist
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5776
- Practice address
- 5965 Stirling Rd # 7009
Davie, FL 33314-7225 - Phone
- (754) 247-6409
- NPI assigned
- Feb 6, 2014
- Reactivated
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 11157 | FL | |
| Psychologist | 103T00000X | 020383 | NY | |
| Psychologist | 103T00000X | 5776 | NJ | Primary |
Addresses
Primary practice location
5965 Stirling Rd # 7009
Davie, FL 33314-7225
Mailing address
5965 Stirling Rd # 7009
Davie, FL 33314-7225
Phone (754) 247-6409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11157 | FL | MD | Psychologist |
| 020383 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrea Sochaczewski LLC | Psychologist | Current | Accepting new patients |
| Om Psychological Services | Current | Accepting new patients |
Locations
5965 Stirling Rd
#7009
Davie, FL 33314
Phone (754) 247-6409
3402 Griffin Rd
Ft Lauderdale, FL 33312
Phone (954) 237-1358
4700 Sheridan St
Ste J
Hollywood, FL 33021
Phone (954) 832-3602
482 Springfield Ave
Fl 2
Summit, NJ 07901
Phone (908) 273-5558
482 Springfield Ave
Summit, NJ 07901
Phone (908) 273-5558
Organizations & group practices 2
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.
-
- Psychologist
- Fort Lauderdale, FL
- NPI 1932869625
-
- Clinical Psychologist
- Summit, NJ
- NPI 1073474466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720310400000",
"number": "1457775793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5965 STIRLING RD # 7009",
"city": "DAVIE",
"state": "FL",
"postal_code": "333147225",
"telephone_number": "754-247-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5965 STIRLING RD # 7009",
"city": "DAVIE",
"state": "FL",
"postal_code": "333147225",
"telephone_number": "754-247-6409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCHACZEWSKI",
"first_name": "ANDREA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2024-07-07",
"certification_date": "2024-07-07",
"deactivation_date": "2021-12-22",
"reactivation_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "11157",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "020383",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "5776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.