Individual provider Active NPI

Sarah Fentress Lewis, PH.D.

  • Psychologist
  • Brevard, NC
National Provider Identifier
1134415987
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3094 Issued in NC
Practice address
157 Medical Park Dr # a
Brevard, NC 28712-4189
Phone
(828) 884-3292
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3094 NC
Psychologist 103T00000X 3094 NC Primary

Addresses

Primary practice location

157 Medical Park Dr # a
Brevard, NC 28712-4189

Mailing address

680 Hart Rd
Pisgah Forest, NC 28768-8637
Phone (828) 278-0743

Other names 1

  • Salli Lewis Other 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3094NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Create Research, Inc Clinical CurrentSince Oct 13, 2024 Accepting new patients

Locations

157 Medical Park Dr
#A
Brevard, NC 28712
Phone (828) 884-3292

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1134415987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HART RD",
            "city": "PISGAH FOREST",
            "state": "NC",
            "postal_code": "287688637",
            "telephone_number": "828-278-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MEDICAL PARK DR # A",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124189",
            "telephone_number": "828-884-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SARAH",
        "middle_name": "FENTRESS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3094",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLI",
            "last_name": "LEWIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.