Individual provider Active NPI

Jaclyn Sabo, PSYD

  • School Psychologist
  • Verona, NJ
National Provider Identifier
1396282802
Registry record updated Jan 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PERMIT #153-121 Issued in NJ
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

Updated by the provider on Jan 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PERMIT #153-121NJMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.