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DR. MICHELE CARYN SACKS PHD
NPI 1073636627
Psychologist - Clinical in Larchmont, NY

Active since April 09, 2007Opted out of Medicare · through Feb 21, 2028
48 ELLSWORTH RD, LARCHMONT, NY 10538(914) 834-2652 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michele Caryn Sacks Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELE CARYN SACKS PHD (NPI 1073636627) is an individual clinical provider in Larchmont, New York, licensed in New York (10080) and active in the NPI registry since April 2007. She has opted out of Medicare through February 21, 2028.

NPPES Registry Identity

NPI1073636627
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHELE CARYN SACKSCredential: PHD
Location Address48 ELLSWORTH RDLarchmont, NY 10538-1439
Mailing Address48 Ellsworth RdLarchmont, NY 10538-1439 · (914) 834-2652
Phone(914) 834-2652
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073636627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 10080
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
48 ELLSWORTH RD, Larchmont, NY 10538
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Other Identifiers 1

Medicare ID-Type UnspecifiedV60821NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michele Caryn Sacks Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 21, 2022 through February 21, 2028.

Opt-Out Effective DateFebruary 21, 2022
Opt-Out In Effect ThroughFebruary 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michele Sacks's NPI number?

The NPI number for Michele Sacks is 1073636627. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Michele Sacks located?

Michele Sacks practices at 48 Ellsworth Rd, Larchmont, NY 10538. The listed phone number is (914) 834-2652.

What is Michele Sacks's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michele Sacks enrolled in Medicare?

No. Michele Sacks has opted out of Medicare through February 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michele Sacks was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.