South Bay Psychological, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SOUTH BAY PSYCHOLOGICAL, P.C.

Practice address

217 Merrick Rd
Suite 103
Amityville, NY 11701-3449

Phone

(631) 264-0058

NPI assigned

Jun 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Sabarese, PHD

Title

President

Phone

(631) 264-0058

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawn Chirichella-Besemer, PSYD

  • Psychologist
  • Syosset, NY
  • NPI 1134161722
  NPD (past)
• Andrea Gray-Pincus, LCSW

  • Clinical Social Worker
  • Bethpage, NY
  • NPI 1740227362
  NPD (past)
• Barbara M Kaplan, PHD.

  • Psychologist
  • Great Neck, NY
  • NPI 1366637795
  NPD (past)
• Jeremy Tiegerman, PSY.D.

  • Psychologist
  • Amityville, NY
  • NPI 1649340910
  NPD (past)
• Irene Rovira, PHD

  • Clinical Psychologist
  • Baltimore, MD
  • NPI 1982658068
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790980753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MERRICK RD",
            "address_2": "SUITE 103",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MERRICK RD",
            "address_2": "SUITE 103",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013449",
            "telephone_number": "631-264-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY PSYCHOLOGICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SABARESE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-264-0058",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Solomon
• Giulia Sorrentino, M.D.
• Sound Body Physical Therapy
• Sound Emergency Physicians, PC (ER-Dox)
• South Bay Counseling, LCSW PC
• South Oaks Hospital
• South Shore Cardiovascular Medicine
• South Shore Cardiovascular Medicine P C
• South Shore Collaborative Psychiatry NP PLLC
• South Shore Magnetic Resonance Imaging Associates PC (Brunswick Medical Services PC)

• Clinical Psychologist in Amityville, NY
• Providers in Amityville, 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 Aug 22, 2020; 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.