Jay Evan Saul, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P55677 Issued in NY

Practice address

6800 Jericho Tpke Ste 120W
Syosset, NY 11791-4445

Phone

(516) 835-2048

NPI assigned

May 23, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 16, 2026 through Feb 16, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Active Change Psychological Services, PLLC

  • Psychologist
  • Syosset, NY
  • NPI 1053938837
  NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1841400538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 JERICHO TPKE STE 120W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914445",
            "telephone_number": "516-835-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 JERICHO TPKE STE 120W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914445",
            "telephone_number": "516-835-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL",
        "first_name": "JAY",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "P55677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janely Santiago
• Yasmel Santos
• Lauren Sardis Shikowitz, MSED
• Victoria Sarita
• Helene Julie Sauberman
• Trudy S Savage, SLP/CCC
• Joseph N. Savasta, MD
• Lanaya Savoca, RN
• Lisa Savran
• Januszi Sawicki, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.