Maria Bucsela Sobol, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25530 Issued in CA

Practice address

417 Spruce St
San Francisco, CA 94118-1711

Phone

(415) 371-9190

NPI assigned

Mar 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 22, 2024 through Jan 22, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Safe & Sound

  • Marriage & Family Therapist
  • San Francisco, CA
  • NPI 1689929598
  NPD (past)

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1598089302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SPRUCE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181711",
            "telephone_number": "415-371-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SPRUCE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181711",
            "telephone_number": "415-371-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOL",
        "first_name": "MARIA",
        "middle_name": "BUCSELA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25530",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "RPS-207104",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1598089302",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Anne Sobel-Twain, NP
• Ramona Michelle Soberanis, RN
• Nasim Camillia Sobhani, MD
• Paul Robert Sobkin, MD
• Stacy Sobocan
• Megan Allison Sobol
• Social-Cultural Adult Child and Family Therapy Professional Corporation
• Erica Soderborg
• Susan Elizabeth Soderstrom, D.D.S.
• Jaskiranjeet Sodhi

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.