Sabreehouse

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SCO5517100 Issued in NJ

Legal business name

SABREEHOUSE

Practice address

74 Welland Avenue
Irvington, NJ 07111

Phone

(732) 489-7124

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Cynthia Glenn, LCSWNPI 1275980351

Title

President

Phone

(732) 489-7124

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Cynthia Glenn, LCSW

  • Clinical Social Worker
  • Irvington, NJ
  • NPI 1275980351
  NPD (past) Authorized official

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1952759276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 WELLAND AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113128",
            "telephone_number": "732-489-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 WELLAND AVENUE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "732-489-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABREEHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-489-7124",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SCO5517100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasandi Nequandi Rollins
• Romeo a. Tiu, M.D., P.a.
• Ronald P. Sinack (Pulmonary Diagnostic Services)
• Ronald Zevin MD
• Rosalyn J Rosenhanst, OT
• Safestar Logistics LLC
• Rachel Sakabo, DOULA
• Oluwabunmi Yewande Saliu, MSC, APN-BC
• Sam Community Services LLC
• Diana Maribel Sambula

• Community/Behavioral Health Agency in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.