Healthcare Provider Details

I. General information

NPI: 1013598283
Provider Name (Legal Business Name): SINEAD C COWINS PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 HILLCREST TER
EAST ORANGE NJ
07018-2358
US

IV. Provider business mailing address

70 HILLCREST TER
EAST ORANGE NJ
07018-2358
US

V. Phone/Fax

Practice location:
  • Phone: 646-694-9124
  • Fax:
Mailing address:
  • Phone: 862-703-6425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35SI00789000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number026259
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: