Sackett Affiliates

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY18785 Issued in CA

Legal business name

SACKETT AFFILIATES

Practice address

1745 Saratoga Ave
Suite 203
San Jose, CA 95129-5201

Phone

(408) 257-6662

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Brian Sackett, PH.D.

Title

President/Psychologist

Phone

(408) 257-6662

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1376710871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 SARATOGA AVE",
            "address_2": "SUITE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295201",
            "telephone_number": "408-257-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 SARATOGA AVE",
            "address_2": "SUITE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295201",
            "telephone_number": "408-257-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACKETT AFFILIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "SACKETT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "408-257-6662",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18785",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "33627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanchan Sachdev, LMFT #89075
• Noor S Sachdev, MD
• Tripta Sachdev, MD
• Virender K Sachdeva, M.D.01/19/1949
• Jason Lawrence Sachman, M.D.
• Corynn Sackett
• Janie Sacks, LMFT
• Marejka Adrienne Sacks
• Lilian Canlas Sacun
• Sonia Sadarangani, M.D.

• Psychologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.