Active NPI
Sallie Joellin Hadley, M.D.
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 204720
- Practice address
- 109 W 27TH St
New York, NY 10001-0265 - Phone
- (917) 634-5311
- NPI assigned
- Apr 6, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 204720 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 204720 | NY | |
| Psychiatry Physician | 2084P0800X | 204720 | NY | Primary |
Addresses
Primary practice location
109 W 27TH St
New York, NY 10001-0265
Mailing address
109 W 27TH St RM 5S
New York, NY 10001-6208
Phone (917) 634-5311
Other names 1
- Sallie J Hadley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Icahn School of Medicine at Mount Sinai, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204720 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| Premier Healthcare, Inc. | Current | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
109 W 27th St
#55
New York, NY 10001
460 W 34th St
New York, NY 10001
Phone (212) 273-6515
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
109 W 27th St
New York, NY 10001
Phone (332) 206-6054
Organizations & group practices 3
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1033750823
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1760436190
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1831330182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1407978786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "917-634-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 27TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100010265",
"telephone_number": "917-634-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADLEY",
"first_name": "SALLIE",
"middle_name": "JOELLIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "204720",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "204720",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "204720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SALLIE",
"last_name": "HADLEY",
"middle_name": "J",
"credential": "M.D.",
"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 Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.