Individual provider Active NPI

Robert Sokol, PH.D.

  • Psychologist
  • Denver, CO
National Provider Identifier
1912910860
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
802 Issued in CO
Practice address
4770 E Iliff Ave Ste 111
Denver, CO 80222-6049
Phone
(303) 319-0470
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

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
Psychologist 103T00000X 802 CO Primary

Addresses

Primary practice location

4770 E Iliff Ave Ste 111
Denver, CO 80222-6049

Mailing address

4770 E Iliff Ave Ste 111
Denver, CO 80222-6049
Phone (303) 319-0470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190524002329 PA Practitioner - Clinical Psychologist 1355684853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Integrated Behavioral Health, LLCGroup PAC ID 4183884521, 10 clinicians

Practice addresses (Care Compare)

1 E Broad St
Suite 510
Bethlehem, PA 18018-5964
Phone (610) 865-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
802COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrated Behavioral Health,LLC Psychologist CurrentSince May 1, 2019 Accepting new patients
Winter Haven Hospital Inc PastSince Nov 24, 2019 Accepting new patients

Locations

1 E Broad St
Ste 510
Bethlehem, PA 18018
Phone (610) 865-4300

1 W Broad St
Ste 810
Bethlehem, PA 18018
Phone (610) 417-4966

Organizations & group practices 2

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912910860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE STE 111",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226049",
            "telephone_number": "303-319-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 E ILIFF AVE STE 111",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226049",
            "telephone_number": "303-319-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOL",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.