Sarah Mallard Wilson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P78680 Issued in NY

Practice address

20 S Broadway
Suite 1109
Yonkers, NY 10701-3713

Phone

(914) 345-0700

Fax

(914) 207-6590

NPI assigned

Jan 5, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Mental Health Association of Westchester County - Social Care Network

  • Case Manager/Care Coordinator
  • Tarrytown, NY
  • NPI 1760320659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1023312006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 WHITE PLAINS RD",
            "address_2": "SUITE 510",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915198",
            "telephone_number": "914-345-5900",
            "fax_number": "914-592-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S BROADWAY",
            "address_2": "SUITE 1109",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013713",
            "telephone_number": "914-345-0700",
            "fax_number": "914-207-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARAH",
        "middle_name": "MALLARD",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P78680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilmer Lacson Rehab Services,Inc.
• Pauline Wilson-Arnold
• Celeste Wilson
• Lasha-Lee Wilson
• Lestin Wilson
• Rachel Winckel
• Brooke Winter-Digirolamo, MPS, ATR-BC, LCAT
• Elliot Winters, CSW
• Kelly Michelle Winters
• Jennifer M Winus-Robinson, P.A.-C.

• Clinical Psychologist in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.