Robert Ira Sack, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD438306 Issued in PA

Practice address

410 N Prince St
T W Ponessa and Associates
Lancaster, PA 17603-3010

Phone

(717) 560-7917

Fax

(717) 560-6452

NPI assigned

Mar 29, 2007

Last updated

Jul 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Cincinnati College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

T.W. Ponessa and Associates Counseling Services, Inc.Group PAC ID 7810991924, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• T.W. Ponessa & Associates Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1053341859
  Medicare reassignment Care Compare group NPD
• T. W. Ponessa and Associates Counseling

  • Community/Behavioral Health Agency
  • Lancaster, PA
  • NPI 1881144004
  NPD (past)
• NV Mental Health LLC

  • Child & Adolescent Psychiatry Physician
  • Annandale, VA
  • NPI 1215288550
  NPD (past)
• Tysons Psychiatric Group

  • Clinical Social Worker
  • Falls Church, VA
  • NPI 1740489244

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468022400000",
    "number": "1124148721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 AVENUE SIMONE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335582828",
            "telephone_number": "301-442-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N PRINCE ST",
            "address_2": "T W PONESSA AND ASSOCIATES",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033010",
            "telephone_number": "717-560-7917",
            "fax_number": "717-560-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACK",
        "first_name": "ROBERT",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD438306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S. June Smith Center
• Belisa Ivonne Saavedra-Kinnard, DPT
• Melissa Sabella-Menoher
• Laura Sabol, SLP
• Tammy Sacco
• Sacred Space Counseling LLC
• Adam Sadek
• Hikmat Sadek, MS, BSL
• Madhumita Sadhukhan, M.D.
• Sadie's Angels LLC

• Psychiatry Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2016; 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.

Verify at the official NPI Registry.