Individual provider Active NPI

Divya Sadana, PHD

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1033785969
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
024288 Issued in NY
Practice address
142 Joralemon St FL 2
Brooklyn, NY 11201-4709
Phone
(718) 593-8000
NPI assigned
Jun 1, 2021
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 024288 NY Primary

Addresses

Primary practice location

142 Joralemon St FL 2
Brooklyn, NY 11201-4709

Mailing address

201 Saint Pauls Ave Apt 9a
Jersey City, NJ 07306-3759
Phone (551) 358-6199

Other practice location 1

9131 Queens Blvd Ste 601
Elmhurst, NY 11373-5543
Phone (718) 454-2222

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
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PMGT Medical and Surgical Associates LLP CurrentSince Feb 23, 2025 Accepting new patients
Nyc Medical & Neurological Offices, P.C. PastSince Jun 6, 2021 Accepting new patients

Locations

142 Joralemon St
Fl 2
Brooklyn, NY 11201
Phone (718) 454-2222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1033785969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT PAULS AVE APT 9A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063759",
            "telephone_number": "551-358-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014709",
            "telephone_number": "718-593-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9131 Queens Blvd Ste 601",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113735543",
            "country_code": "US",
            "telephone_number": "718-454-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADANA",
        "first_name": "DIVYA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.