Active NPI
Mark Barry Sobell, PH.D.
- Addiction (Substance Use Disorder) Psychologist
- Davie, FL
National Provider Identifier
1669553426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- PY 5691
- Practice address
- 3301 College Ave
Davie, FL 33314-7721 - Phone
- (954) 262-5747
- Fax
- (954) 262-3895
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PY 5691 | FL | Primary |
Addresses
Primary practice location
3301 College Ave
Davie, FL 33314-7721
Mailing address
3301 College Ave
Davie, FL 33314-7721
Phone (954) 262-5747
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 5691 | FL | MD | Addiction (Substance Use Disorder) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669553426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 COLLEGE AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333147721",
"telephone_number": "954-262-5747",
"fax_number": "954-262-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 COLLEGE AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333147721",
"telephone_number": "954-262-5747",
"fax_number": "954-262-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBELL",
"first_name": "MARK",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "PY 5691",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.