Individual provider Active NPI

Sarton Brodie Weinraub, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1083617518
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
016243 Issued in NY
Practice address
439 E 9TH St
Apt 6
New York, NY 10009-4938
Phone
(212) 673-8790
Fax
(212) 208-2955
NPI assigned
May 30, 2005
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 016243 NY Primary

Addresses

Primary practice location

439 E 9TH St
Apt 6
New York, NY 10009-4938

Mailing address

439 E 9TH St
Apt 6
New York, NY 10009-4938
Phone (212) 673-8790

Other identifiers 2

IdentifierTypeStateIssuer
P3587857OtherNYOXFORD HEALTH PLANS
02637281MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050331000659 NY Practitioner - Clinical Psychologist 2163479346 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Milligan PL
New York, NY 10011-8374
Phone (212) 989-6086

1 Milligan Place
New York, NY 10011-8374

National Provider Directory

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

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083617518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 E 9TH ST",
            "address_2": "APT 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100094938",
            "telephone_number": "212-673-8790",
            "fax_number": "212-208-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 E 9TH ST",
            "address_2": "APT 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100094938",
            "telephone_number": "212-673-8790",
            "fax_number": "212-208-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINRAUB",
        "first_name": "SARTON",
        "middle_name": "BRODIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3587857",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02637281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.