Jamie Kimiko Sato, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

700 Issued in NE

Practice address

4215 Avenue I
Scottsbluff, NE 69361-4902

Phone

(308) 635-3696

NPI assigned

Oct 28, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Educational Service Unit 13

  • Psychologist
  • Scottsbluff, NE
  • NPI 1104393545
  NPD (past)

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1134836349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 AVENUE I",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614902",
            "telephone_number": "308-635-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 AVENUE I",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614902",
            "telephone_number": "308-635-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATO",
        "first_name": "JAMIE",
        "middle_name": "KIMIKO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Santos
• Jasmin Dawn Santos
• Kyle Brett Sargent
• Seedy Ali Sarr
• Ruba M Sarsour, D.O.
• Nina L Saucedo
• Chelsea Sauer, OTR/L
• Dawn D Sayaloune
• Mark Richard Scanlan, MD
• Sarah Schaaf, M.S.ED., CCC-SLP

• Clinical Psychologist in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Clinical Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.