Active NPI
Solid Sobriety, LLC
- Psychiatry Physician
- Pompano Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SOLID SOBRIETY, LLC
- Practice address
- 721 E Atlantic Blvd
Pompano Beach, FL 33060-6345 - Phone
- (954) 655-6735
- NPI assigned
- Jan 28, 2014
- Reactivated
- Dec 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Sobelman, LMHC
- Title
- Member
- Phone
- (954) 655-6735
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Addiction Psychiatry Physician | 2084P0802X |
Addresses
Primary practice location
721 E Atlantic Blvd
Pompano Beach, FL 33060-6345
Mailing address
721 E Atlantic Blvd
Pompano Beach, FL 33060-6345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Solid Sobriety Detox and Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Solid Sobriety Detox and Wellness
- Substance Use Disorder Rehabilitation Clinic/Center
- Pompano Beach, FL
- NPI 1063963718
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Miramar, FL
- NPI 1396210555
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Pompano Beach, FL
- NPI 1225388283
-
- Psychiatric/Mental Health Nurse Practitioner
- Boca Raton, FL
- NPI 1558655068
-
- Clinical Social Worker
- Pompano Beach, FL
- NPI 1639421811
-
- Mental Health Counselor
- Pompano Beach, FL
- NPI 1801222914
-
- Clinical Social Worker
- Coconut Creek, FL
- NPI 1144468257
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607472000000",
"number": "1912320953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 E ATLANTIC BLVD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330606345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 E ATLANTIC BLVD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330606345",
"telephone_number": "954-655-6735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLID SOBRIETY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-28",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"deactivation_date": "2020-11-10",
"reactivation_date": "2020-12-09",
"status": "A",
"authorized_official_last_name": "SOBELMAN",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "954-655-6735",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.