Individual provider Active NPI

Sara Deutsch, PH.D

  • Clinical Psychologist
  • Yonkers, NY
National Provider Identifier
1982790127
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009321-1 Issued in NY
Practice address
59 Fairfield Rd
Yonkers, NY 10705-1709
Phone
(914) 965-3501
Fax
(914) 965-3329
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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 009321-1 NY Primary

Addresses

Primary practice location

59 Fairfield Rd
Yonkers, NY 10705-1709

Mailing address

3736 Henry Hudson Pkwy
Ste. 206
Bronx, NY 10463-1502
Phone (914) 965-3501

Other identifiers 1

IdentifierTypeStateIssuer
01643003MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100222000448 NY Practitioner - Clinical Psychologist 1759425226 Practice locations: Bronx, NY; White Plains, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3736 Henry Hudson Pkwy
Suite 206
Bronx, NY 10463-1502
Phone (914) 965-3501

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009321-1NYMDClinical Psychologist
009321NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Psychological Services PLLC Past Accepting new patients
Suzanne Burger, Psy.D., P.C. Clinical PastSince May 25, 2021 Accepting new patients

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1982790127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 HENRY HUDSON PKWY",
            "address_2": "STE. 206",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631502",
            "telephone_number": "914-965-3501",
            "fax_number": "914-965-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 FAIRFIELD RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051709",
            "telephone_number": "914-965-3501",
            "fax_number": "914-965-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "SARA",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009321-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01643003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.