Individual provider Active NPI

Colleen Maria Dorfman Saar, PH.D.

  • Clinical Neuropsychologist
  • Fairport, NY
National Provider Identifier
1063526333
Registry record updated Oct 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
35S100419200 Issued in NJ
Practice address
6780 Pittsford Palmyra Rd
BLDG. 3, Suite 4D
Fairport, NY 14450-3360
Phone
(585) 880-8640
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 35S100419200 NJ Primary
Psychologist 103T00000X 35SI00419200 NJ

Addresses

Primary practice location

6780 Pittsford Palmyra Rd
BLDG. 3, Suite 4D
Fairport, NY 14450-3360

Mailing address

6780 Pittsford Palmyra Rd
BLDG. 3, Suite 4D
Fairport, NY 14450-3360
Phone (585) 880-8640

Other names 1

  • Dr. Colleen Maria Dorfman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100419200NJMDClinical Neuropsychologist
35SI00419200NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475884800000",
    "number": "1063526333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 PITTSFORD PALMYRA RD",
            "address_2": "BLDG. 3, SUITE 4D",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503360",
            "telephone_number": "585-880-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 PITTSFORD PALMYRA RD",
            "address_2": "BLDG. 3, SUITE 4D",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503360",
            "telephone_number": "585-880-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAR",
        "first_name": "COLLEEN",
        "middle_name": "MARIA DORFMAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35S100419200",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00419200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "DORFMAN",
            "middle_name": "MARIA",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; 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.