Active NPI
John Sos, M.D.
- Prescribing (Medical) Psychologist
- Belmont, MA
National Provider Identifier
1780884676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 37735
- Practice address
- 8 Clifton St
Belmont, MA 02478-3363 - Phone
- (617) 484-7847
- NPI assigned
- Jul 19, 2007
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | 37735 | MA | Primary |
Addresses
Primary practice location
8 Clifton St
Belmont, MA 02478-3363
Mailing address
8 Clifton St
Belmont, MA 02478-3363
Phone (617) 484-7847
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2039826 | Medicaid | MA | |
| B11535 | Other | BLUE CROSS & BLUE SHIELD |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37735 | MA | MD | Prescribing (Medical) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1780884676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CLIFTON ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783363",
"telephone_number": "617-484-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CLIFTON ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024783363",
"telephone_number": "617-484-7847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOS",
"first_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "MA",
"license": "37735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2039826",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "B11535",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.