Healthcare Provider Details

I. General information

NPI: 1487549978
Provider Name (Legal Business Name): SAHAR JAAFAR PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 ALPS RD
WAYNE NJ
07470-3904
US

IV. Provider business mailing address

624 ALPS RD
WAYNE NJ
07470-3904
US

V. Phone/Fax

Practice location:
  • Phone: 516-441-2190
  • Fax:
Mailing address:
  • Phone: 516-441-2190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number02694801
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number02694801
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number02694801
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number02694801
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number02694801
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number02694801
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number02694801
License Number StateNY
# 8
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number02694801
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: