Sanam Hafeez, PSY.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

68-016117 Issued in NY

Practice address

8460 123Rd St
Kew Gardens, NY 11415-3305

Phone

(718) 441-0166

Fax

(718) 805-2054

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Comprehensive Consultation Psychological Services, P.C.

  • Clinical Neuropsychologist
  • Forest Hills, NY
  • NPI 1932427499
  Medicare reassignment NPD Authorized official
• Liakeas Medical PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1912729914
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1780807610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 123RD ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153305",
            "telephone_number": "718-441-0166",
            "fax_number": "718-805-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 123RD ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153305",
            "telephone_number": "718-441-0166",
            "fax_number": "718-805-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEEZ",
        "first_name": "SANAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "68-016117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Greenberg, D.M.D.
• Guiding Steps Intervention LLC
• Elizabeth Guillen
• Miriam Jane Gunz, O.T.
• Katherine Marie Guzman
• Steven Hakim, DDS
• Mason Hakimi
• Hagger Hamed
• Crystal Toni Hampton, LMSW
• Iryna Hanfling

• Clinical Neuropsychologist in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.