Sarah Loretta Amador, PH.D.
Individual provider Active NPI Clinical Psychologist · Springfield, NJ
NPI 1801226154 · NPPES record last updated Feb 14, 2014
Key facts
- NPI
- 1801226154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 35SI00487800 (NJ)
- Practice address
- 28 Millburn Ave
Suite 1
Springfield, NJ 07081-1039 - Phone
- (973) 467-9333
- NPI assigned
- Nov 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00487800 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Short Hills Assoc. in Clinical Psychology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00487800 | NJ | Yes |
Addresses
Primary practice location
28 Millburn Ave
Suite 1
Springfield, NJ 07081-1039
Mailing address
28 Millburn Ave
Suite 1
Springfield, NJ 07081-1039
Phone (973) 467-9333
Other names
- Dr. Sarah Loretta Southwick
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.