Active NPI
Shahrzad Sadighim, PSY.D.
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1003159310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022-890-1
- Practice address
- 26 Court St Ste 1302
Brooklyn, NY 11242-1113 - Phone
- (516) 382-3343
- NPI assigned
- Apr 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 022-890-1 | NY | Primary |
Addresses
Primary practice location
26 Court St Ste 1302
Brooklyn, NY 11242-1113
Mailing address
808 Union St Ste 3a
Brooklyn, NY 11215-1386
Phone (516) 382-3433
Other practice location 1
1405 Federal Blvd
Denver, CO 80204-2211
Phone (303) 504-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-3536193 | Other | NY | PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 27, 2018 through Dec 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022-890-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1003159310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 UNION ST STE 3A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151386",
"telephone_number": "516-382-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 COURT ST STE 1302",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112421113",
"telephone_number": "516-382-3343"
}
],
"practiceLocations": [
{
"address_1": "1405 Federal Blvd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802042211",
"country_code": "US",
"telephone_number": "303-504-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SADIGHIM",
"first_name": "SHAHRZAD",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-04",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022-890-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLLC",
"identifier": "83-3536193",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.