Individual provider Active NPI

Andrea Dee Sopko, PH.D.

  • Counseling Psychologist
  • Cohoes, NY
National Provider Identifier
1821164179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
016033-1 Issued in NY
Practice address
405 Vliet Blvd
Cohoes, NY 12047-2019
Phone
(518) 237-4263
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 016033-1 NY Primary

Addresses

Primary practice location

405 Vliet Blvd
Cohoes, NY 12047-2019

Mailing address

345 Grange Rd
Troy, NY 12180-8944
Phone (518) 279-4035

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
I20250819001032 NY Order and Referring Only - Clinical Psychologist 1052810835

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016033NYMDMental Health Counselor
016033-1NYMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Care and Services Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821164179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 GRANGE RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808944",
            "telephone_number": "518-279-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 VLIET BLVD",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472019",
            "telephone_number": "518-237-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPKO",
        "first_name": "ANDREA",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "016033-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohoes, NY

Sources for this page

Verify at the official NPI Registry.