Active NPI
Janet A Sobczak, PHD., PMHNP-BC, RN
- Psychiatric/Mental Health Nurse Practitioner
- Woburn, MA
National Provider Identifier
1881921070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN180847
- Practice address
- 12 Alfred St Ste 200
Woburn, MA 01801-1915 - Phone
- (781) 646-0500
- Fax
- (781) 646-7130
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN180847 | MA | Primary |
Addresses
Primary practice location
12 Alfred St Ste 200
Woburn, MA 01801-1915
Mailing address
7270 Buckley Rd Ste 2
Syracuse, NY 13212-2649
Phone (315) 452-0485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336163963 | Medicaid | NY |
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
- Credentials
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN180847 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Care Associates, P.C. | Current | Accepting new patients |
Locations
22 Mill St
Ste 4
Arlington, MA 02476
Phone (781) 246-0500
12 Alfred St
Ste 200
Woburn, MA 01801
Phone 7816460500 ext. 112
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.
-
- Clinical Psychologist
- Woburn, MA
- NPI 1194770479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1881921070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7270 BUCKLEY RD STE 2",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132122649",
"telephone_number": "315-452-0485",
"fax_number": "315-452-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 ALFRED ST STE 200",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011915",
"telephone_number": "781-646-0500",
"fax_number": "781-646-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBCZAK",
"first_name": "JANET",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD., PMHNP-BC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN180847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336163963",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.