Provider Demographics
NPI:1215028006
Name:HIMMELFARB, SABINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SABINE
Middle Name:
Last Name:HIMMELFARB
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20528 BOLAND FARM ROAD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4038
Mailing Address - Country:US
Mailing Address - Phone:301-972-4088
Mailing Address - Fax:301-681-1651
Practice Address - Street 1:20528 BOLAND FARM RD
Practice Address - Street 2:SUITE 207
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4038
Practice Address - Country:US
Practice Address - Phone:301-972-4088
Practice Address - Fax:301-681-1651
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2582103TC0700X, 103TC2200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD510335500Medicaid
MD626213Medicare ID - Type Unspecified
MD510335500Medicaid