Individual provider Active NPI

Sara Jalbert, LPC, LP

  • Clinical Psychologist
  • Watertown, CT
National Provider Identifier
1083164115
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5011 Issued in CT
Practice address
27 Siemon Company Dr
Watertown, CT 06795-2654
Phone
(475) 222-3886
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Clinical Psychologist 103TC0700X 5011 CT Primary

Addresses

Primary practice location

27 Siemon Company Dr
Watertown, CT 06795-2654

Mailing address

66 Dunrobin LN
Watertown, CT 06795-1712
Phone (203) 565-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arrive LLC Professional CurrentSince Oct 5, 2021 Accepting new patients
Catholic Charities, Inc. - Archdiocese of Hartford Past Accepting new patients
Catholic Charities, Inc. - Archdiocese of Hartford PastSince Jan 1, 2000 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccaoh/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1083164115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 DUNROBIN LN",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067951712",
            "telephone_number": "203-565-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952654",
            "telephone_number": "475-222-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALBERT",
        "first_name": "SARA",
        "credential": "LPC, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "5011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.