Active NPI
Sara L Levine Kornfield, PHD
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1205174356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017331
- Practice address
- 3535 Market St FL 3
Philadelphia, PA 19104-3317 - Phone
- (215) 746-6700
- Fax
- (215) 573-8881
- NPI assigned
- Jan 24, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2015029570 | MO | |
| Clinical Psychologist | 103TC0700X | PS017331 | PA | Primary |
Addresses
Primary practice location
3535 Market St FL 3
Philadelphia, PA 19104-3317
Mailing address
3535 Market St FL 3
Philadelphia, PA 19104-3317
Phone (215) 746-6700
Other practice location 1
4444 Forest Park Ave
Ste 2600
Saint Louis, MO 63108-2212
Phone (314) 286-1700
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1205174356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 MARKET ST FL 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043317",
"telephone_number": "215-746-6700",
"fax_number": "215-573-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 MARKET ST FL 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043317",
"telephone_number": "215-746-6700",
"fax_number": "215-573-8881"
}
],
"practiceLocations": [
{
"address_1": "4444 Forest Park Ave",
"address_2": "Ste 2600",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631082212",
"country_code": "US",
"telephone_number": "314-286-1700",
"fax_number": "314-286-1777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVINE KORNFIELD",
"first_name": "SARA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2015029570",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.