Individual provider Active NPI

Sarah Virginia Adams, PSY.D. LMFT

  • Family Psychologist
  • West Covina, CA
National Provider Identifier
1093722431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
MFC 20837 Issued in CA
Practice address
260 S Glendora Ave Ste 106-107
West Covina, CA 91790-3041
Phone
(626) 919-2584
Fax
(626) 918-4610
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X MFC 20837 CA Primary

Addresses

Primary practice location

260 S Glendora Ave Ste 106-107
West Covina, CA 91790-3041

Mailing address

260 S Glendora Ave Ste 106-107
West Covina, CA 91790-3041
Phone (626) 919-2584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240403004186 CA Practitioner - Marriage and Family Therapist 6204274665 Practice locations: Covina, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

969 S Village Oaks Dr
Suite 201
Covina, CA 91724-0606
Phone (626) 915-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 20837CAMDFamily Psychologist
20837CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Hills Behavioral Health, Inc. PastSince Mar 30, 2004 Accepting new patients

Organizations & group practices 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093722431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S GLENDORA AVE STE 106-107",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903041",
            "telephone_number": "626-919-2584",
            "fax_number": "626-918-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S GLENDORA AVE STE 106-107",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903041",
            "telephone_number": "626-919-2584",
            "fax_number": "626-918-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SARAH",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D. LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "MFC 20837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.