Active NPI
Matthew David Sobesky
- Mental Health Counselor
- Denver, CO
National Provider Identifier
1710325345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1014M0800X
- Practice address
- Professional Psychology Clinic
2450 S. Vine St.
Denver, CO 80208-0001 - Phone
- (303) 871-3625
- NPI assigned
- Jun 5, 2013
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1014M0800X | CO | Primary |
Addresses
Primary practice location
Professional Psychology Clinic
2450 S. Vine St.
Denver, CO 80208-0001
Mailing address
Professional Psychology Clinic
2450 S. Vine St.
Denver, CO 80208-0001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1014M0800X | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1710325345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PROFESSIONAL PSYCHOLOGY CLINIC",
"address_2": "2450 S. VINE ST.",
"city": "DENVER",
"state": "CO",
"postal_code": "802080001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PROFESSIONAL PSYCHOLOGY CLINIC",
"address_2": "2450 S. VINE ST.",
"city": "DENVER",
"state": "CO",
"postal_code": "802080001",
"telephone_number": "303-871-3625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBESKY",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-05",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "1014M0800X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.