Individual provider Active NPI

Azilde E. Sanchez, PHD., LPC

  • Psychologist
  • Cocoa Beach, FL
National Provider Identifier
1376727537
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00512300 Issued in NJ
Practice address
1980 N Atlantic Ave
Cocoa Beach, FL 32931-5213
Phone
(973) 862-9262
NPI assigned
Dec 24, 2007
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00360100 NJ
Psychologist 103T00000X 35SI00512300 NJ Primary

Addresses

Primary practice location

1980 N Atlantic Ave
Cocoa Beach, FL 32931-5213

Mailing address

1157 Main Ave
Clifton, NJ 07011-2243
Phone (973) 341-9869

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37PC00360100NJMDProfessional Counselor
35SI00512300NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Integrated Psychotherapy and Counseling LLC Psychologist CurrentSince Apr 29, 2014 Accepting new patients

Locations

1157 Main Ave
Clifton, NJ 07011
Phone (973) 341-9869

555 Preakness Ave
Totowa, NJ 07502
Phone (973) 341-9869

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1376727537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112243",
            "telephone_number": "973-341-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N ATLANTIC AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315213",
            "telephone_number": "973-862-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "AZILDE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "PHD., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00360100",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00512300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.