Individual provider Active NPI

Michael L Sakowitz, PH.D.

  • Psychologist
  • Wayne, NJ
National Provider Identifier
1063438992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00148700 Issued in NJ
Practice address
11 Colburn CT
Wayne, NJ 07470-8211
Phone
(973) 696-5668
Fax
(073) 305-8078
NPI assigned
Jul 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 35SI00148700 NJ Primary

Addresses

Primary practice location

11 Colburn CT
Wayne, NJ 07470-8211

Mailing address

11 Colburn CT
Wayne, NJ 07470-8211
Phone (973) 696-5668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050223000036 NJ Practitioner - Clinical Psychologist 8325091051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sakowitz Counseling, P.a.Group PAC ID 9335686195, 11 clinicians

Practice addresses (Care Compare)

61 Beaverbrook Rd
Suite 302
Lincoln Park, NJ 07035-1750
Phone (973) 696-0800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3870AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sakowitz Counseling PA CurrentSince Aug 1, 2024 Accepting new patients

Locations

61 Beaverbrook Rd
Ste 302
Lincoln Park, NJ 07035
Phone (973) 696-0800

Organizations & group practices 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063438992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COLBURN CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708211",
            "telephone_number": "973-696-5668",
            "fax_number": "073-305-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COLBURN CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708211",
            "telephone_number": "973-696-5668",
            "fax_number": "073-305-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKOWITZ",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00148700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.