Individual provider Active NPI

Sabrina Breed, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1497935738
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015001 1 Issued in NY
Practice address
210 W 70TH St Apt 201
New York, NY 10023-4363
Phone
(917) 207-9612
NPI assigned
Nov 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015001 1 NY Primary

Addresses

Primary practice location

210 W 70TH St Apt 201
New York, NY 10023-4363

Mailing address

100 W 89TH St Apt 4M
New York, NY 10024-1934
Phone (917) 207-9612

Other practice location 1

100 W 89TH St
Apt 4M
New York, NY 10024-1934
Phone (917) 207-9612

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
I20041112000456 NY Practitioner - Clinical Psychologist 4981668761 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 W 70TH St
Apt 201
New York, NY 10023-4363
Phone (917) 207-9612

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015001 1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Stephanie Fagin-Jones PHD Clinical Psychologist PC PastSince Jan 20, 2020 Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1497935738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 89TH ST APT 4M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241934",
            "telephone_number": "917-207-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 70TH ST APT 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234363",
            "telephone_number": "917-207-9612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W 89TH ST",
            "address_2": "APT 4M",
            "address_purpose": "LOCATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241934",
            "country_code": "US",
            "telephone_number": "917-207-9612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREED",
        "first_name": "SABRINA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-03",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015001 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.