Active NPI
Sara Bisson
- Psychologist
- Bloomington, IN
National Provider Identifier
1134855380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 885 S College Mall Rd
PMB 136
Bloomington, IN 47401-6301 - Phone
- (716) 316-7219
- NPI assigned
- Jul 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
885 S College Mall Rd
PMB 136
Bloomington, IN 47401-6301
Mailing address
885 S College Mall Rd
PMB 136
Bloomington, IN 47401-6301
Phone (812) 269-8693
Other names 1
- Sara O'Donnell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 16, 2024 through Jul 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Bisson LLC | Psychologist | Current | Accepting new patients |
Locations
885 S College Mall Rd
Bloomington, IN 47401
Phone (716) 316-7219
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.
-
- Psychologist
- Boston, MA
- NPI 1518816560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1134855380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 S COLLEGE MALL RD",
"address_2": "PMB 136",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474016301",
"telephone_number": "812-269-8693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 S COLLEGE MALL RD",
"address_2": "PMB 136",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474016301",
"telephone_number": "716-316-7219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISSON",
"first_name": "SARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-29",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "O'DONNELL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.