Active NPI
Jaclyn Sabo, PSYD
- School Psychologist
- Verona, NJ
National Provider Identifier
1396282802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- PERMIT #153-121
- Practice address
- 80 Pompton Ave
Suite 204
Verona, NJ 07044-2945 - Phone
- (973) 944-0810
- NPI assigned
- Jan 22, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | PERMIT #153-121 | NJ | Primary |
Addresses
Primary practice location
80 Pompton Ave
Suite 204
Verona, NJ 07044-2945
Mailing address
74 Montague PL
Apartment 9
Montclair, NJ 07042-2837
Phone (732) 221-7514
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PERMIT #153-121 | NJ | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gianni Pirelli, PHD | Past | Accepting new patients | |
| Pirelli Clinical and Forensic Psychology, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Morristown, NJ
- NPI 1922401587
-
- Psychologist
- Verona, NJ
- NPI 1639617442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485043200000",
"number": "1396282802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 MONTAGUE PL",
"address_2": "APARTMENT 9",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422837",
"telephone_number": "732-221-7514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 POMPTON AVE",
"address_2": "SUITE 204",
"city": "VERONA",
"state": "NJ",
"postal_code": "070442945",
"telephone_number": "973-944-0810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABO",
"first_name": "JACLYN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-22",
"last_updated": "2017-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NJ",
"license": "PERMIT #153-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.