Individual provider Active NPI

Sara Beth Danitz-Steinhardt, PH.D.

  • Clinical Psychologist
  • South Hadley, MA
National Provider Identifier
1497137137
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11190 Issued in MA
Practice address
1 Hadley Street #802
South Hadley, MA 01075-7734
Phone
(617) 420-7418
Fax
(617) 404-9377
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 11190 MA Primary
Clinical Psychologist 103TC0700X 26596 NY

Addresses

Primary practice location

1 Hadley Street #802
South Hadley, MA 01075-7734

Mailing address

1 Hadley St #802
South Hadley, MA 01075-7734
Phone (617) 420-7418

Other names 1

  • Dr. Sara Beth Danitz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 12, 2024 through Mar 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11190MAMDMental Health Counselor
26596NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1497137137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HADLEY ST #802",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010757734",
            "telephone_number": "617-420-7418",
            "fax_number": "617-404-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HADLEY STREET #802",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010757734",
            "telephone_number": "617-420-7418",
            "fax_number": "617-404-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANITZ-STEINHARDT",
        "first_name": "SARA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11190",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "26596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "DANITZ",
            "middle_name": "BETH",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Hadley, MA

Sources for this page

Verify at the official NPI Registry.