NPIMap

Individual provider Active NPI

Sandra Marie Tobik, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Astoria, NY
National Provider Identifier
1932449279
Registry record updated Feb 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401528 Issued in NY
Practice address
2308 30TH Ave
2ND Floor
Astoria, NY 11102-3494
Phone
(212) 452-4657
Fax
(646) 370-1951
NPI assigned
Feb 24, 2013
Last updated
Feb 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401528 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2012041202 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2267 TX

Addresses

Primary practice location

2308 30TH Ave
2ND Floor
Astoria, NY 11102-3494

Mailing address

37 E 28TH St
Suite 508
New York, NY 10016-7919
Phone (212) 452-4657

Other names 1

  • Sandy Tobik Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204002617 TX Practitioner - Nurse Practitioner 6002055134 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

1800 N Britain Rd
Parkland Health
Irving, TX 75061-2630
Phone (214) 266-3000

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2012041202MOMDPsychiatric/Mental Health Nurse Practitioner
401528NYMDPsychiatric/Mental Health Nurse Practitioner
2267TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Mar 25, 2019 Accepting new patients
Dallas County Hospital District CurrentSince Feb 13, 2019 Accepting new patients
Dallas County Hospital District CurrentSince Feb 13, 2019 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Sep 1, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 25, 2019 Accepting new patients
Dallas County Hospital District Psychiatric/Mental Health Current Accepting new patients
Duncanville Mental Health Services Past Accepting new patients
Innovative Psychiatricare PC PastSince Aug 14, 2012 Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

3600 Gaston Ave
Ste 404
Dallas, TX 75246
Phone (214) 824-6718

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: stobik460974@direct.sw.org
  • Direct secure messaging: stobik86544@direct.phhs.org

Organizations & group practices 9

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

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361664000000",
    "number": "1932449279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 E 28TH ST",
            "address_2": "SUITE 508",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167919",
            "telephone_number": "212-452-4657",
            "fax_number": "646-370-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 30TH AVE",
            "address_2": "2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023494",
            "telephone_number": "212-452-4657",
            "fax_number": "646-370-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIK",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-24",
        "last_updated": "2013-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401528",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2012041202",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDY",
            "last_name": "TOBIK",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.