Individual provider Active NPI

Laurie N Sabra, PH.D.

  • Psychologist
  • Hollywood, FL
National Provider Identifier
1881701704
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0004261 Issued in FL
Practice address
4600 Sheridan St
Suite 400
Hollywood, FL 33021-3409
Phone
(954) 989-3600
Fax
(954) 894-1884
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0004261 FL Primary

Addresses

Primary practice location

4600 Sheridan St
Suite 400
Hollywood, FL 33021-3409

Mailing address

4600 Sheridan St
Suite 400
Hollywood, FL 33021-3409
Phone (954) 989-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20071213000782 FL Practitioner - Clinical Psychologist 1153411145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0004261FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie Nitzberg Sabra PHD PA Psychologist CurrentSince Apr 30, 2003 Accepting new patients

Locations

4600 Sheridan St
Ste 400
Hollywood, FL 33021
Phone (954) 881-1211

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1881701704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SHERIDAN ST",
            "address_2": "SUITE 400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213409",
            "telephone_number": "954-989-3600",
            "fax_number": "954-894-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SHERIDAN ST",
            "address_2": "SUITE 400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213409",
            "telephone_number": "954-989-3600",
            "fax_number": "954-894-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABRA",
        "first_name": "LAURIE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0004261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.