Individual provider Active NPI

Sara Elnahal, PSY.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1487991063
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019848 Issued in NY
Practice address
15 Bridge Park Dr Apt 13J
Brooklyn, NY 11201-7323
Phone
(646) 373-9528
NPI assigned
Jan 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 019848 NY
Clinical Psychologist 103TC0700X 019848 NY Primary

Addresses

Primary practice location

15 Bridge Park Dr Apt 13J
Brooklyn, NY 11201-7323

Mailing address

15 Bridge Park Dr Apt 13J
Brooklyn, NY 11201-7323
Phone (646) 373-9528

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

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1487991063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRIDGE PARK DR APT 13J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017323",
            "telephone_number": "646-373-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRIDGE PARK DR APT 13J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017323",
            "telephone_number": "646-373-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELNAHAL",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019848",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019848",
            "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 Mar 28, 2024; 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.