Active NPI
Martina Majella Sobolesky, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Coatesville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP021876
- Practice address
- 201 Reeceville Rd
Coatesville, PA 19320-1542 - Phone
- (610) 383-8000
- NPI assigned
- Jul 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP021876 | PA | Primary |
Addresses
Primary practice location
201 Reeceville Rd
Coatesville, PA 19320-1542
Mailing address
55 Village Way
Malvern, PA 19355-2114
Phone (302) 540-4721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
802 New Holland Avenue
100 Penn Medicine LGHP Behavioral Health
Lancaster, PA 17602-2288
Phone (717) 560-3782
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP021876 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Lancaster General Medical Group | Psychiatric/Mental Health | Current | Accepting new patients |
| Lancaster General Hospital | Current | Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Hopewell Psychology LLC | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Springfield Psychological PC | Current | Accepting new patients | |
| Lancaster General Hospital | Current | Accepting new patients |
Locations
1999 Sproul Rd
Ste 23
Broomall, PA 19008
Phone (484) 731-0000
426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301
555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945
3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644
802 New Holland Ave
Ste 100
Lancaster, PA 17602
Phone (717) 544-1427
620 Spear St
Oxford, PA 19363
Phone (610) 932-9300
1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144
7 Neshaminy Interplex Dr
Trevose, PA 19053
770 E Market St
Ste 135
West Chester, PA 19382
Phone (484) 919-5889
Interoperability endpoints
- martina.sobolesky.1@28623.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Psychiatry Physician
- Lancaster, PA
- NPI 1952392383
Psychiatric/Mental Health
-
- Psychiatry Physician
- Lancaster, PA
- NPI 1306961800
-
- Counseling Psychologist
- Philadelphia, PA
- NPI 1811778988
-
- Psychologist
- West Chester, PA
- NPI 1649084914
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1205691912
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1306724570
-
- Mental Health Counselor
- Springfield, PA
- NPI 1295705317
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593907200000",
"number": "1669099719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 VILLAGE WAY",
"city": "MALVERN",
"state": "PA",
"postal_code": "193552114",
"telephone_number": "302-540-4721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 REECEVILLE RD",
"city": "COATESVILLE",
"state": "PA",
"postal_code": "193201542",
"telephone_number": "610-383-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBOLESKY",
"first_name": "MARTINA",
"middle_name": "MAJELLA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-05",
"last_updated": "2020-07-05",
"certification_date": "2020-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP021876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coatesville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.