Individual provider Active NPI

Sara Schloss Stave, PSY.D.

  • Clinical Psychologist
  • Tuckahoe, NY
National Provider Identifier
1992940183
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
014386 Issued in NY
Practice address
77 Highview Ave
Tuckahoe, NY 10707-1728
Phone
(914) 793-7770
Fax
(914) 793-8011
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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 014386 NY Primary

Addresses

Primary practice location

77 Highview Ave
Tuckahoe, NY 10707-1728

Mailing address

77 Highview Ave
Tuckahoe, NY 10707-1728
Phone (914) 793-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20220509000424 NY Practitioner - Clinical Psychologist 8527445808 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy Psychology of New York PLLC Clinical CurrentSince Apr 1, 2022 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1992940183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HIGHVIEW AVE",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107071728",
            "telephone_number": "914-793-7770",
            "fax_number": "914-793-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HIGHVIEW AVE",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107071728",
            "telephone_number": "914-793-7770",
            "fax_number": "914-793-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVE",
        "first_name": "SARA",
        "middle_name": "SCHLOSS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckahoe, NY

Sources for this page

Verify at the official NPI Registry.