Organization Active NPI

Sadar Psychological and Sports Center

  • Clinical Psychologist
  • Eagleville, PA
National Provider Identifier
1235322835
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SADAR PSYCHOLOGICAL AND SPORTS CENTER
Practice address
124 Woodlyn Ave
Eagleville, PA 19403-1608
Phone
(610) 933-9440
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Mrs. Angelika Y Sadar, M.A.NPI 1982647590
Title
Licensed Psychologist
Phone
(610) 933-9440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

124 Woodlyn Ave
Eagleville, PA 19403-1608

Mailing address

124 Woodlyn Ave
Eagleville, PA 19403-1608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000580 PA Part B Supplier - Clinic/Group Practice 6002876646 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Forge, PA

National Provider Directory

National Provider Directory

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1235322835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WOODLYN AVE",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WOODLYN AVE",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031608",
            "telephone_number": "610-933-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADAR PSYCHOLOGICAL AND SPORTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "SADAR",
        "authorized_official_first_name": "ANGELIKA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-933-9440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.