Active NPI
Sandra Ackerman Sinclair, PHD
- Counseling Psychologist
- Maplewood, NJ
National Provider Identifier
1508260738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 35S100524000
- Practice address
- 33 Burroughs Way
Maplewood, NJ 07040-1435 - Phone
- (201) 486-5601
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 35S100524000 | NJ | Primary |
| Counseling Psychologist | 103TC1900X | 019783-1 | NY |
Addresses
Primary practice location
33 Burroughs Way
Maplewood, NJ 07040-1435
Mailing address
33 Burroughs Way
Maplewood, NJ 07040-1435
Phone (201) 486-5601
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100524000 | NJ | MD | Counseling Psychologist |
| 019783-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1508260738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BURROUGHS WAY",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401435",
"telephone_number": "201-486-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 BURROUGHS WAY",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070401435",
"telephone_number": "201-486-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN SINCLAIR",
"first_name": "SANDRA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NJ",
"license": "35S100524000",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "019783-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.