Provider Demographics
NPI:1689557977
Name:STEFANAKIS, SARAH REBECCA (PSYD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:REBECCA
Last Name:STEFANAKIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CROMWELL PKWY
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-1725
Mailing Address - Country:US
Mailing Address - Phone:908-451-2928
Mailing Address - Fax:
Practice Address - Street 1:215 RIDGEDALE AVE STE 206
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1356
Practice Address - Country:US
Practice Address - Phone:973-200-2037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100730200103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist