MEDICARE: DR. SABRINA NICHOLE CROUCH PSY.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	103TC0700X	Clinical Psychologist	015987	NY
2	103TC2200X	Clinical Child & Adolescent Psychologist	015987	NY

General Provider Information

NPI Number	:	1871564823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SABRINA NICHOLE CROUCH PSY.D.

Provider Business Mailing Address
First Line	:	2154 WATSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-5402
Country	:	US
Telephone Number	:	718-822-2376
Fax Number	:	718-824-5187

Provider Business Practice Location Address
First Line	:	2154 WATSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-5402
Country	:	US
Telephone Number	:	718-822-2376
Fax Number	:	718-824-5187

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

Provider Enumeration Date	:	01/29/2006
Last Update Date	:	09/11/2025

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