Organization Active NPI

SJM Psychological Services PLLC

  • Community/Behavioral Health Agency
  • Brooklyn, NY
National Provider Identifier
1437922143
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SJM PSYCHOLOGICAL SERVICES PLLC
Practice address
1123A McDonald Ave
Brooklyn, NY 11230-3320
Phone
(917) 655-6975
NPI assigned
Nov 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Dr. Sarah Miller, PHD
Title
Owner
Phone
(917) 655-6975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1123A McDonald Ave
Brooklyn, NY 11230-3320

Mailing address

1421 E 24TH St
Brooklyn, NY 11210-5144
Phone (917) 655-6975

National Provider Directory

National Provider Directory

Locations

1123 McDonald Ave
#A
Brooklyn, NY 11230
Phone (347) 927-5169

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1437922143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105144",
            "telephone_number": "917-655-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123A MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303320",
            "telephone_number": "917-655-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJM PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-655-6975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.