Active NPI
Sara Nicole Sweetbaum, M.S., M.S.ED
- Clinical Child & Adolescent Psychologist
- New York, NY
National Provider Identifier
1366998197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 201 E 66TH St
Apartment 8N
New York, NY 10065-6451 - Phone
- (914) 522-8639
- NPI assigned
- Aug 31, 2016
- Last updated
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU | Primary | |
| School Psychologist | 103TS0200X | NU |
Addresses
Primary practice location
201 E 66TH St
Apartment 8N
New York, NY 10065-6451
Mailing address
750 Tilden St
Bronx, NY 10467-6013
Phone (718) 231-3400
Other names 1
- Mrs. Sara Nicole Sweetbaum Treiber
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)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1366998197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 TILDEN ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104676013",
"telephone_number": "718-231-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E 66TH ST",
"address_2": "APARTMENT 8N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656451",
"telephone_number": "914-522-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEETBAUM",
"first_name": "SARA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "M.S., M.S.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "TREIBER",
"middle_name": "NICOLE SWEETBAUM",
"prefix": "MRS.",
"credential": "M.S., M.S.ED.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.