Kristen Marie Sobkiewicz, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS018558 Issued in PA

Practice address

100 Emerson LN Ste 1525
Bridgeville, PA 15017-3484

Phone

(724) 972-4343

NPI assigned

Aug 1, 2018

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

Other names 1

• Kristen Marie Montgomery Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1619455771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EMERSON LN STE 1525",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150173484",
            "telephone_number": "724-972-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMERSON LN STE 1525",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150173484",
            "telephone_number": "724-972-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBKIEWICZ",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MONTGOMERY",
            "middle_name": "MARIE",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Macy Erin Skepanski
• Jane Ann Smith Collins, LPN
• Nancy Smith, PHD
• Ashlee A Smochek
• Leigh Smyczek
• Anthony Sodini
• Jill Sodini
• Haley Solan
• Pavel G Somov, PH.D.
• Southbridge Emergency Medical Services Inc

• Psychologist in Bridgeville, PA
• Providers in Bridgeville, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.