Individual provider Active NPI

Sandra D. Negron, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Rego Park, NY
National Provider Identifier
1538298914
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
012777 Issued in NY
Practice address
6344 Saunders St
Suite 103
Rego Park, NY 11374-2039
Phone
(718) 459-6891
Fax
(718) 275-1646
NPI assigned
Mar 3, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 012777 NY
Clinical Child & Adolescent Psychologist 103TC2200X 012777 NY Primary

Addresses

Primary practice location

6344 Saunders St
Suite 103
Rego Park, NY 11374-2039

Mailing address

6344 Saunders St
Suite 103
Rego Park, NY 11374-2039
Phone (718) 459-6891

Other identifiers 1

IdentifierTypeStateIssuer
01742194MedicaidNY

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
I20120113000002 NY Practitioner - Clinical Psychologist 2062689102 Practice locations: Rego Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

63 -44 Saunders St
Suite 103
Rego Park, NY 11374-2043
Phone (718) 459-6891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012777NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Network Services PC Past Accepting new patients
On-Site Psychological Services PC Clinical Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1538298914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 SAUNDERS ST",
            "address_2": "SUITE 103",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742039",
            "telephone_number": "718-459-6891",
            "fax_number": "718-275-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 SAUNDERS ST",
            "address_2": "SUITE 103",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742039",
            "telephone_number": "718-459-6891",
            "fax_number": "718-275-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "SANDRA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012777",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "012777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01742194",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.