Organization Active NPI

Sara Barris Psy D PC

  • Clinical Psychologist
  • Forest Hills, NY
National Provider Identifier
1255609228
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9110-1 Issued in NY
Legal business name
SARA BARRIS PSY D PC
Practice address
10923 71St Rd
1H
Forest Hills, NY 11375-4874
Phone
(718) 544-0932
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. Sara Barris, PSYD
Title
Clinical Psychologist
Phone
(718) 544-0932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 9110-1 NY Primary

Addresses

Primary practice location

10923 71St Rd
1H
Forest Hills, NY 11375-4874

Mailing address

10923 71St Rd
Forest Hills, NY 11375-4874
Phone (718) 544-0932

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1255609228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10923 71ST RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754874",
            "telephone_number": "718-544-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10923 71ST RD",
            "address_2": "1H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754874",
            "telephone_number": "718-544-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA BARRIS PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "BARRIS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "718-544-0932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "9110-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.