Individual provider Active NPI

Andrea M. Sochaczewski, PSYD

  • Psychologist
  • Davie, FL
National Provider Identifier
1457775793
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5776 Issued in NJ
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

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11157FLMDPsychologist
020383NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Sochaczewski LLC Psychologist CurrentSince Jul 14, 2024 Accepting new patients
Om Psychological Services CurrentSince Nov 30, 2025 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.

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.

Verify at the official NPI Registry.