Yadira Sanchez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00539200 Issued in NJ

Practice address

90 Millburn Ave Ste 102
Millburn, NJ 07041-1933

Phone

(973) 378-5525

Fax

(973) 378-5590

NPI assigned

Apr 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Birch Tree Psychology

  • Clinical Psychologist
  • Pompton Plains, NJ
  • NPI 1649719766
  NPD (past)

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1649698952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E SHORE RD",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342042",
            "telephone_number": "201-757-8364",
            "fax_number": "201-757-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE STE 102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411933",
            "telephone_number": "973-378-5525",
            "fax_number": "973-378-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "YADIRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00539200",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Sadow Frankel, LCSW
• Qaisra Yasmin Saeed, MD
• Rachel Salem, CRNA
• Sammaret Behavioral Services PC
• Alexander Sanchez, MD
• Sallie Beth Sarrel, D.P.T
• Kristine Sauerwald
• Avni Sawhney, DPT
• Regina Ann Schaefer, LCSW
• Greg B Scheier, DDS

• Clinical Psychologist in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.