Josephine A Pobre-So, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD057683L Issued in PA

Practice address

2321 N Broad St
Colmar, PA 18915-9702

Phone

(267) 218-3468

Fax

(215) 283-9937

NPI assigned

Aug 2, 2006

Last updated

Mar 11, 2008By 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

Other identifiers 4

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Merakey Montgomery County

  • Community/Behavioral Health Agency
  • Lansdale, PA
  • NPI 1972727139
  Medicare reassignment NPD
• Merakey Philadelphia

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1073636866
  Medicare reassignment NPD
• Merakey Montgomery County

  • Community/Behavioral Health Agency
  • Lansdale, PA
  • NPI 1346363538
  NPD
• Delaware County Professional Services, Inc

  dba LifeStance

  • Psychiatry Physician
  • Media, PA
  • NPI 1952485864
  NPD (past)
• Scott a. Fleischer, M.D., P.C.

  • Psychiatry Physician
  • Fort Washington, PA
  • NPI 1720181720
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1679580310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189360955",
            "telephone_number": "267-218-3468",
            "fax_number": "215-283-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N BROAD ST",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159702",
            "telephone_number": "267-218-3468",
            "fax_number": "215-283-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POBRE-SO",
        "first_name": "JOSEPHINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD057683L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01579460",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEHSHIELD",
            "identifier": "PO855217",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "15-01721",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07235180",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pragma Corporation
• Preferred Medical Transport Inc
• Rita Roseline Ravichandar, LSW
• Patricia A Roth, DO
• Jacqueline Marie Sardaro, PT

• Psychiatry Physician in Colmar, PA
• Providers in Colmar, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.