Individual provider Active NPI

Sandra B Taub, PH.D

  • Psychologist
  • Dobbs Ferry, NY
National Provider Identifier
1497898019
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
005801-1 Issued in NY
Practice address
340 Clinton Ave
Dobbs Ferry, NY 10522-3023
Phone
(914) 693-3954
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 005801-1 NY Primary

Addresses

Primary practice location

340 Clinton Ave
Dobbs Ferry, NY 10522-3023

Mailing address

340 Clinton Ave
Dobbs Ferry, NY 10522-3023
Phone (914) 693-3954

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000494 NY Practitioner - Clinical Psychologist 8921291196 Practice locations: Dobbs Ferry, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

340 Clinton Ave
Dobbs Ferry, NY 10522-3023
Phone (914) 693-3854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
005801-1NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497898019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CLINTON AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223023",
            "telephone_number": "914-693-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 CLINTON AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223023",
            "telephone_number": "914-693-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUB",
        "first_name": "SANDRA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "005801-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

Verify at the official NPI Registry.