Provider Demographics
NPI:1417228339
Name:DAVID K. SAKHEIM, LLC
Entity Type:Organization
Organization Name:DAVID K. SAKHEIM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:KURT
Authorized Official - Last Name:SAKHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:203-562-1500
Mailing Address - Street 1:357 WHITNEY AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-2364
Mailing Address - Country:US
Mailing Address - Phone:203-562-1500
Mailing Address - Fax:866-706-9557
Practice Address - Street 1:357 WHITNEY AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-2364
Practice Address - Country:US
Practice Address - Phone:203-562-1500
Practice Address - Fax:866-706-9557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1252103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT620000179Medicare UPIN