Sandra Faye Adams, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0005625 Issued in FL

Practice address

117 S State Road 7
Suite 201
Wellington, FL 33414-4338

Phone

(561) 790-4855

Fax

(561) 791-1832

NPI assigned

Apr 3, 2007

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Behavioral Medicine Associates PLLCGroup PAC ID 0547442766, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Behavioral Medicine Associates PLLC

  • Health Psychologist
  • Hattiesburg, MS
  • NPI 1487950564
  Medicare reassignment Care Compare group
• Alpert Jewish Family & Children Services, Inc

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1588974950
  NPD (past)
• Ferd and Gladys Alpert Jewish Family & Childrens SVC of PLM BCH

  • Clinical Social Worker
  • West Palm Beach, FL
  • NPI 1841297926
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1033230362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S STATE ROAD 7",
            "address_2": "SUITE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144338",
            "telephone_number": "561-790-4855",
            "fax_number": "561-791-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S STATE ROAD 7",
            "address_2": "SUITE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144338",
            "telephone_number": "561-790-4855",
            "fax_number": "561-791-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SANDRA",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0005625",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY0005625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Action Physical Therapy, LLC
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• Acute Medical Care Hospitalist LLC
• Rikala Adams
• Darmaan Osman Aden, M.D., F.A.C.P
• Adolfo Colman MD
• Advanced Breast Care of the Palm Beaches, PA.
• Advanced Endodontics of Wellington
• Advanced Medical Clinic P a

• Clinical Psychologist in Wellington, FL
• Providers in Wellington, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.