Chad Ray Sombke, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY202061 Issued in ID

Practice address

2770 E Franklin Rd
Meridian, ID 83642-5953

Phone

(208) 855-0660

Fax

(208) 898-9433

NPI assigned

Oct 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1982891909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 E FRANKLIN RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425953",
            "telephone_number": "208-855-0660",
            "fax_number": "208-898-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 E FRANKLIN RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425953",
            "telephone_number": "208-855-0660",
            "fax_number": "208-898-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMBKE",
        "first_name": "CHAD",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY202061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "N6276",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solaridy Dba Comfort Keepers
• Solaridy LLC
• Chara J. Solich, MD
• Natalie Ann Solomon, PHARMD
• Elizabeth Blair Solow, M.D.
• Staci Rock Somes, LPC, NCC
• Margery M Soni, NP
• Jeff Alan Sordahl Jr., PSY.D.
• Shawn Soren, M.S., O.T. R/L
• Lorena Sorensen

• Clinical Psychologist in Meridian, ID
• Providers in Meridian, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.