Paul R Sachs, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS003957L Issued in PA

Practice address

27 E Mt Airy
Philadelphia, PA 19119

Phone

(215) 248-6867

Fax

(215) 248-9294

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Professional Psychology Group

  • Clinical Psychologist
  • Bala Cynwyd, PA
  • NPI 1427274653
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669516498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190040771",
            "telephone_number": "610-667-2524",
            "fax_number": "215-248-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E MT AIRY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19119",
            "telephone_number": "215-248-6867",
            "fax_number": "215-248-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHS",
        "first_name": "PAUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003957L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269458",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajeev M. Sachdeva, M.D.
• Eric Sachinwalla, M.D.
• Evelyn Ruth Sachs, LCSW
• Katherine Amanda Sachs, L.S.W.
• Nicholas Raymond Sachs
• Susan Bakewell Sachs, PHD, CRNP
• Daniel Eli Sack
• Rachel Elizabeth Sackett
• Manuel Nii Bortey Sackey, MD
• Sacko Services

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.