MEDICARE: DR. SASHA G. IZEN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	017922	NY

General Provider Information

NPI Number	:	1144465717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SASHA G. IZEN PH.D.

Provider Business Mailing Address
First Line	:	70 PARK ST STE 310
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2960
Country	:	US
Telephone Number	:	646-793-3768
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 PARK ST STE 310
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2960
Country	:	US
Telephone Number	:	646-793-3768
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2008
Last Update Date	:	04/16/2025

Similar Medicare Providers

1740006931 — BILLY BENSON, LCSW LLC
Practice Location Address:

70 PARK ST STE 310
MONTCLAIR, NJ
07042-2960

Practice Phone: 201-463-6029
Practice Fax:

1891796769 — DR. CHARLES E SAGORIN M.D.
Practice Location Address:

70 PARK ST STE 310
MONTCLAIR, NJ
07042-2960

Practice Phone: 973-783-3300
Practice Fax: 973-783-1168

1427088590 — DR. IRA MORRIS GOLDSTEIN M.D.
Practice Location Address:

70 PARK ST STE 312
MONTCLAIR, NJ
07042-2960

Practice Phone: 201-342-2550
Practice Fax: 201-342-7171

1770915704 — MR. BILLY BENSON LCSW
Practice Location Address:

70 PARK ST STE 310
MONTCLAIR, NJ
07042-2960

Practice Phone: 201-463-6029
Practice Fax:

1346623642 — STACIE DUBNOFF LCSW
Practice Location Address:

70 PARK ST STE 208
MONTCLAIR, NJ
07042-2960

Practice Phone: 551-310-3020
Practice Fax:

1114396835 — MONTCLAIR MEMORY CLINIC LLC
Practice Location Address:

70 PARK STREET , SUITE 207
MONTCLAIR, NJ
07042-2960

Practice Phone: 973-743-4555
Practice Fax: 973-743-4055

Directions to “ DR. SASHA G. IZEN PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.