Active NPI
Sara Palmer, PH.D
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1114945854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 013973-1
- Practice address
- 133 S Oxford St
Brooklyn, NY 11217-1603 - Phone
- (718) 638-0360
- Fax
- (718) 857-6418
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 013973-1 | NY | Primary |
Addresses
Primary practice location
133 S Oxford St
Brooklyn, NY 11217-1603
Mailing address
1 Old Country Rd
Suite 271
Carle Place, NY 11514-1801
Phone (800) 725-6280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02477145 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040722001424 | NY | Practitioner - Clinical Psychologist | 9335129063 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
26 Court St
Suite 1014
Brooklyn, NY 11242-1110
Phone (917) 648-1559
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013973-1 | NY | MD | Clinical Psychologist |
| 013973 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114945854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OLD COUNTRY RD",
"address_2": "SUITE 271",
"city": "CARLE PLACE",
"state": "NY",
"postal_code": "115141801",
"telephone_number": "800-725-6280",
"fax_number": "800-725-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 S OXFORD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171603",
"telephone_number": "718-638-0360",
"fax_number": "718-857-6418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "SARA",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "013973-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02477145",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.