| Michael L. Sakowitz Ph.d., P.a, | |
|
11 Colburn Ct Wayne NJ 07470-8211 | |
| (973) 696-5668 | |
| (973) 305-8078 |
| Full Name | Michael L. Sakowitz Ph.d., P.a, |
|---|---|
| Speciality | Psychologist |
| Location | 11 Colburn Ct, Wayne, New Jersey |
| Authorized Official Name and Position | Michael L Sakowitz (PRESIDENT) |
| Authorized Official Contact | 9736965668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L. Sakowitz Ph.d., P.a, 11 Colburn Ct Wayne NJ 07470-8211 Ph: (973) 696-5668 | Michael L. Sakowitz Ph.d., P.a, 11 Colburn Ct Wayne NJ 07470-8211 Ph: (973) 696-5668 |
| NPI Number | 1952464984 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/28/2008 |
| Medicare PECOS PAC ID | 3779536404 |
|---|---|
| Medicare Enrollment ID | O20081206000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952464984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35SIO0148700 (New Jersey) | Primary |
| Provider Name | Michael L Sakowitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063438992 PECOS PAC ID: 8325091051 Enrollment ID: I20050223000036 |
| Provider Name | Carmen Cuccia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720092174 PECOS PAC ID: 6103879846 Enrollment ID: I20050223000078 |
| Provider Name | Rosemary Cordasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770593477 PECOS PAC ID: 0749233484 Enrollment ID: I20050223000083 |
| Provider Name | Loreen Adamo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255348322 PECOS PAC ID: 6901859644 Enrollment ID: I20050223000096 |
| Provider Name | Gregory R Pavlik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407862014 PECOS PAC ID: 0244283984 Enrollment ID: I20050223000121 |
| Provider Name | Corey Glynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205858412 PECOS PAC ID: 1850474339 Enrollment ID: I20080206000478 |
| Provider Name | Leslie Baral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285641159 PECOS PAC ID: 0244400588 Enrollment ID: I20110824000717 |
| Provider Name | Loretta Bouchard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295795128 PECOS PAC ID: 2163692146 Enrollment ID: I20110830000644 |
| Provider Name | Jennifer Rojas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619128766 PECOS PAC ID: 4880850700 Enrollment ID: I20120723000171 |
| Provider Name | James A R Glynn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083967418 PECOS PAC ID: 4284852658 Enrollment ID: I20140826002293 |
| Provider Name | Emory Salley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386011914 PECOS PAC ID: 1355647678 Enrollment ID: I20160314001181 |
| Provider Name | Vanessa Sovyrda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306342241 PECOS PAC ID: 6204190465 Enrollment ID: I20180516000932 |
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