Organization Active NPI

Developing Mind Psychological Services

  • Clinical Psychologist
  • New Rochelle, NY
National Provider Identifier
1639563174
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015987 Issued in NY
Legal business name
DEVELOPING MIND PSYCHOLOGICAL SERVICES
Practice address
1 Winfield PL
New Rochelle, NY 10801-2907
Phone
(917) 673-4621
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Dr. Sabrina Crouch, PSY.D.
Title
Psychologist
Phone
(917) 673-4621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 015987 NY Primary

Addresses

Primary practice location

1 Winfield PL
New Rochelle, NY 10801-2907

Mailing address

1 Winfield PL
New Rochelle, NY 10801-2907

Other identifiers 1

IdentifierTypeStateIssuer
02645650MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1639563174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WINFIELD PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108012907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WINFIELD PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108012907",
            "telephone_number": "917-673-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPING MIND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-673-4621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02645650",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.