Individual provider Active NPI

Sara Nicole Sweetbaum, M.S., M.S.ED

  • Clinical Child & Adolescent Psychologist
  • New York, NY
National Provider Identifier
1366998197
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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)
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.

Verify at the official NPI Registry.