Individual provider Active NPI

Sara H Hyatt, PSYD

  • Clinical Psychologist
  • San Jose, CA
National Provider Identifier
1083881957
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22635 Issued in CA
Practice address
4320 Stevens Creek Blvd
Suite 220
San Jose, CA 95129-1202
Phone
(408) 888-7324
Fax
(408) 866-4766
NPI assigned
May 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY22635 CA Primary

Addresses

Primary practice location

4320 Stevens Creek Blvd
Suite 220
San Jose, CA 95129-1202

Mailing address

4320 Stevens Creek Blvd
Suite 220
San Jose, CA 95129-1202
Phone (408) 888-7324

Other identifiers 1

IdentifierTypeStateIssuer
0PL226350OtherCABLUE SHIELD PIN

Other names 1

  • Dr. Sara H Boyd Former name

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

State licenses

LicenseStateTypeSpecialty
PSY22635CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1083881957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 STEVENS CREEK BLVD",
            "address_2": "SUITE 220",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291202",
            "telephone_number": "408-888-7324",
            "fax_number": "408-866-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 STEVENS CREEK BLVD",
            "address_2": "SUITE 220",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291202",
            "telephone_number": "408-888-7324",
            "fax_number": "408-866-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "SARA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "0PL226350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BOYD",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.