Individual provider Active NPI

Rebecca L Sobanski, APNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1841646080
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7047-33 Issued in WI
Practice address
234 W Florida St Ste 315
Milwaukee, WI 53204-1659
Phone
(414) 348-8392
Fax
(414) 296-8934
NPI assigned
May 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7047 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7047-33 WI Primary

Addresses

Primary practice location

234 W Florida St Ste 315
Milwaukee, WI 53204-1659

Mailing address

2112 E Bennett Ave
Milwaukee, WI 53207-2916
Phone (414) 348-8392

Other identifiers 1

IdentifierTypeStateIssuer
100058723MedicaidWI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7047WIMDNurse Practitioner
7047-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moonlit Path Behavioral Health CurrentSince Jan 17, 2022 Accepting new patients

Locations

13500 Watertown Plank Rd
Ste 102
Elm Grove, WI 53122
Phone (206) 785-1015

234 W Florida St
Ste 315
Milwaukee, WI 53204
Phone (414) 348-8392

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1841646080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 E BENNETT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072916",
            "telephone_number": "414-348-8392",
            "fax_number": "414-296-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 W FLORIDA ST STE 315",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532041659",
            "telephone_number": "414-348-8392",
            "fax_number": "414-296-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBANSKI",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "APNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7047",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "7047-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100058723",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.