Madeline Sober

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

26137 La Paz Rd Ste 230
Mission Viejo, CA 92691-5337

Phone

(949) 595-8610

NPI assigned

Dec 18, 2017

Last updated

Feb 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Matthew N. Koury, MD, MPH a Professional Corporation

  dba Mind Health Institute, Newport Beach

  • Child & Adolescent Psychiatry Physician
  • Newport Beach, CA
  • NPI 1154864205

  Mental Health

  NPD (past)
• Western Youth Services

  • Adolescent and Children Mental Health Clinic/Center
  • Mission Viejo, CA
  • NPI 1790817468
  NPD (past)

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1558877159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD STE 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915337",
            "telephone_number": "949-595-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD STE 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915337",
            "telephone_number": "949-595-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBER",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilbur I Smith
• Linda Snell
• William Allen Snipes, M.S., CCC, SLP
• Brittany Snook
• So Cal Sleep Solutions
• Socal Empowered, LLC
• Socal Empowered, LLC
• Socal Nurse Advocates, LLC
• Sochoa Equipment LLC
• Social Behavior Education Center LLC

• Mental Health Counselor in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.