Sandra Abitbol, PSY.D.
Individual provider Active NPI Psychologist · Orangeburg, NY
NPI 1588080550 · NPPES record last updated Mar 13, 2014
Key facts
- NPI
- 1588080550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 616646 (NY)
- Practice address
- 140 Old Orangeburg Road
Rockland Psychiatric Center
Orangeburg, NY 10962 - Phone
- (845) 359-1000
- NPI assigned
- Mar 13, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 616646 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockland Psychiatric Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 616646 | NY | Yes |
Addresses
Primary practice location
140 Old Orangeburg Road
Rockland Psychiatric Center
Orangeburg, NY 10962
Mailing address
18 Church Street
Nyack Consultation Center
Nyack, NY 10960
Phone (845) 358-1677
Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.