Individual provider Active NPI

Sarah Gaumer

  • Clinical Psychologist
  • Fort Lauderdale, FL
National Provider Identifier
1053082297
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY11704 Issued in FL
Practice address
1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone
(954) 885-9500
Fax
(954) 885-9444
NPI assigned
Sep 27, 2021
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X PY11704 FL Primary

Addresses

Primary practice location

1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875

Mailing address

1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone (954) 885-9500

Other practice location 1

2233 N Commerce Pkwy Ste 3
Weston, FL 33326-3252
Phone (954) 217-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20230327003016 FL Practitioner - Clinical Psychologist 6305210618 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Healthcare Solutions North LLC Clinical CurrentSince Jan 2, 2025 Accepting new patients
Transformative Healthcare Solutions South LLC Clinical CurrentSince Jan 2, 2025 Accepting new patients
Mjen LLC CurrentSince Sep 24, 2023 Accepting new patients
Transformative Healthcare Solutions Central LLC Clinical CurrentSince Jan 2, 2025 Accepting new patients
Dr. Monica Lake, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Transformative Healthcare Solutions Inc Clinical CurrentSince Nov 1, 2023 Accepting new patients
Mental Health Center of Florida PA Clinical CurrentSince Jun 19, 2024 Accepting new patients
Transformative Healthcare Solutions West LLC Clinical CurrentSince Jan 2, 2025 Accepting new patients
Transformative Healthcare Solutions Gold Coast LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Transformative Healthcare Solutions East LLC Clinical CurrentSince Jan 2, 2025 Accepting new patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 Accepting new patients

Locations

130 E Bloomingdale Ave
Brandon, FL 33511
Phone (813) 444-8760

1321 NE 24th Ave
Cape Coral, FL 33909
Phone (239) 294-2180

2544 E Sunrise Blvd
Fort Lauderdale, FL 33304
Phone (954) 253-0853

1848 SE 1st Ave
Ft Lauderdale, FL 33316
Phone (954) 366-2700

4243 Sunbeam Rd
Ste 8
Jacksonville, FL 32257

160 Treemonte Dr
Orange City, FL 32763
Phone (386) 423-0505

9381 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 220-0302

4820 W Gandy Blvd
Tampa, FL 33611

3710 14th St
Vero Beach, FL 32960
Phone (772) 564-0063

2233 N Commerce Pkwy
Ste 3
Weston, FL 33326
Phone (954) 217-1757

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1053082297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162875",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162875",
            "telephone_number": "954-885-9500",
            "fax_number": "954-885-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2233 N Commerce Pkwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263252",
            "country_code": "US",
            "telephone_number": "954-217-1757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUMER",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.