Individual provider Active NPI

Cliff Sabath, PH.D.

  • Clinical Psychologist
  • Gardena, CA
National Provider Identifier
1942310750
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY6872 Issued in CA
Practice address
1225 W 190TH St Ste 220
Gardena, CA 90248-4336
Phone
(310) 323-9966
Fax
(310) 323-6888
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY6872 CA Primary

Addresses

Primary practice location

1225 W 190TH St Ste 220
Gardena, CA 90248-4336

Mailing address

1225 W 190TH St Ste 220
Gardena, CA 90248-4336
Phone (310) 323-9966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20151223000415 CA Practitioner - Clinical Psychologist 4183925894

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY6872CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sabath & Associates Past Accepting new patients

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942310750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 220",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484336",
            "telephone_number": "310-323-9966",
            "fax_number": "310-323-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 220",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484336",
            "telephone_number": "310-323-9966",
            "fax_number": "310-323-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATH",
        "first_name": "CLIFF",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.