Individual provider Active NPI

Sacha Zilkha

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1295110757
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
022508-1 Issued in NY
Practice address
397 Bridge St FL 7
Brooklyn, NY 11201-5247
Phone
(917) 376-1532
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0225081 NY
Psychologist 103T00000X 022508-1 NY Primary

Addresses

Primary practice location

397 Bridge St FL 7
Brooklyn, NY 11201-5247

Mailing address

397 Bridge St FL 7
Brooklyn, NY 11201-5247
Phone (917) 376-1532

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.
Opted out of Medicare
Yes, effective Feb 22, 2019 through Feb 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
022508-1NYMDPsychologist
0225081NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1295110757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 BRIDGE ST FL 7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015247",
            "telephone_number": "917-376-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 BRIDGE ST FL 7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015247",
            "telephone_number": "917-376-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILKHA",
        "first_name": "SACHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0225081",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022508-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.