Individual provider Active NPI

Sandra Sabatini, PSY.D., ED.D.

  • Clinical Psychologist
  • Mahwah, NJ
National Provider Identifier
1659522050
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
SI01728 Issued in NJ
Practice address
216 W Ramapo Ave
Mahwah, NJ 07430-1617
Phone
(201) 327-3730
Fax
(201) 327-3705
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X SI01728 NJ Primary

Addresses

Primary practice location

216 W Ramapo Ave
Mahwah, NJ 07430-1617

Mailing address

216 W Ramapo Ave
Mahwah, NJ 07430-1617
Phone (201) 327-3730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20171208000029 NJ Practitioner - Clinical Psychologist 7719252808 Practice locations: Mahwah, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 W Ramapo Ave
Mahwah, NJ 07430-1617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SI01728NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1659522050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W RAMAPO AVE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301617",
            "telephone_number": "201-327-3730",
            "fax_number": "201-327-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W RAMAPO AVE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301617",
            "telephone_number": "201-327-3730",
            "fax_number": "201-327-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATINI",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI01728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

Verify at the official NPI Registry.