Active NPI
Bracha Sacks-Stern, PSY.D.
- Health Service Psychologist
- West Hempstead, NY
National Provider Identifier
1679670335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 011618
- Practice address
- 402 Linden St
West Hempstead, NY 11552-2515 - Phone
- (516) 538-1070
- Fax
- (516) 538-7990
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 011618 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 011618 | NY | |
| School Psychologist | 103TS0200X | 011618 | NY | |
| Family Psychologist | 103TF0000X | 011618 | NY | |
| Psychologist | 103T00000X | 011618 | NY | |
| Adult Development & Aging Psychologist | 103TA0700X | 011618 | NY | |
| Health Service Psychologist | 103TH0100X | 011618 | NY | Primary |
Addresses
Primary practice location
402 Linden St
West Hempstead, NY 11552-2515
Mailing address
402 Linden St
West Hempstead, NY 11552-2515
Phone (516) 538-1070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P715091 | Other | NY | OXFORD |
| 142246 | Other | NY | VALUE OPTIONS |
| 6801940 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011618 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679670335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 LINDEN ST",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115522515",
"telephone_number": "516-538-1070",
"fax_number": "516-538-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 LINDEN ST",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115522515",
"telephone_number": "516-538-1070",
"fax_number": "516-538-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKS-STERN",
"first_name": "BRACHA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "011618",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "011618",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "011618",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NY",
"license": "011618",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "011618",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "NY",
"license": "011618",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NY",
"license": "011618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P715091",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "142246",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6801940",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.