Individual provider Active NPI

Judith Sorokin, PH.D.

  • Clinical Psychologist
  • Katonah, NY
National Provider Identifier
1790065613
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011551 Issued in NY
Practice address
15 Parkway
Third Floor
Katonah, NY 10536-1505
Phone
(914) 232-3846
Fax
(708) 778-8017
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 011551 NY Primary

Addresses

Primary practice location

15 Parkway
Third Floor
Katonah, NY 10536-1505

Mailing address

15 Parkway
Third Floor
Katonah, NY 10536-1505
Phone (914) 232-3846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110909002380 NY Practitioner - Clinical Psychologist 3779753322 Practice locations: Katonah, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 Katonah Ave
Suite 214
Katonah, NY 10536-2138
Phone (914) 232-3846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1790065613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARKWAY",
            "address_2": "THIRD FLOOR",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105361505",
            "telephone_number": "914-232-3846",
            "fax_number": "708-778-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKWAY",
            "address_2": "THIRD FLOOR",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105361505",
            "telephone_number": "914-232-3846",
            "fax_number": "708-778-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROKIN",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

Verify at the official NPI Registry.