Active NPI
SJM Psychological Services PLLC
- Community/Behavioral Health Agency
- Brooklyn, NY
National Provider Identifier
1437922143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychologist
- Brooklyn, NY
- NPI 1568814705
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.