Ethel Teichberg-Sabath, PSYD, LCSW

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021445 Issued in NY

Practice address

1745 Broadway FL 17
New York, NY 10019-4642

Phone

(212) 851-8102

Fax

(212) 537-0102

NPI assigned

Dec 12, 2008

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

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

State of New York Comptrollers OfficeGroup PAC ID 0840101770, 171 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment Care Compare group NPD
• Clinical Psychassociates LLP

  • Clinical Psychologist
  • New York, NY
  • NPI 1124051925
  Medicare reassignment NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Binghamton, NY
  • NPI 1316088941
  NPD
• Yeshiva University

  dba Rose F. Kennedy Center - CERC

  • Pediatrics Physician
  • Bronx, NY
  • NPI 1821032558
  NPD (past)
• Yeshiva University

  • Methadone Clinic
  • Bronx, NY
  • NPI 1891837910
  NPD (past)

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720223241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HIGHLAND LN",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331845",
            "telephone_number": "914-893-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 BROADWAY FL 17",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194642",
            "telephone_number": "212-851-8102",
            "fax_number": "212-537-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Highland Ln",
            "address_purpose": "LOCATION",
            "city": "Irvington",
            "state": "NY",
            "postal_code": "10533",
            "country_code": "US",
            "telephone_number": "718-430-8900 x8457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEICHBERG-SABATH",
        "first_name": "ETHEL",
        "credential": "PSYD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "00073294",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Teich, M.D.
• Andrew Teich, C.R.N.A.
• Morton Max Teich, M.D.
• Stephen Stuart Teich, M.D.
• Steven A Teich, MD
• Tracy Ann Teicher Nathanson, LMSW
• Mary Elizabeth Teicher, LCSW
• Sylvia Swier Teichman Welsh, PH.D.
• Louise A Teiga, LCSW
• Celia Teigland, OTR/L

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.