Active NPI
Sadar Psychological and Sports Center
- Clinical Psychologist
- Eagleville, PA
National Provider Identifier
1235322835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Valley Forge, PA
- NPI 1982647590
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.