Individual provider Active NPI

Sarah Ann Prevelige, ED.D.

  • Psychologist
  • Framingham, MA
National Provider Identifier
1265668818
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
403756 Issued in MA
Practice address
111 Speen St Ste 110
Framingham, MA 01701-2000
Phone
(508) 290-5156
Fax
(508) 443-6024
NPI assigned
Jun 9, 2009
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 403756 MA Primary
Psychologist 103T00000X LEP1018 MA

Addresses

Primary practice location

111 Speen St Ste 110
Framingham, MA 01701-2000

Mailing address

208 Main St
Suite 115
Milford, MA 01757
Phone (508) 478-0126

Other practice location 1

208 Main St.
Suite 115
Milford, MA 01757
Phone (781) 223-3382

Other names 1

  • Dr. Sarah Ann Haussmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212000064 MA Practitioner - Clinical Psychologist 4385170414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metrowest Mental Health Services, PLLCGroup PAC ID 3476089509, 2 clinicians

Practice addresses (Care Compare)

111 Speen St
Suite 110
Framingham, MA 01701-2092
Phone (508) 290-5161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
403756MAMDPsychologist
LEP1018MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metrowest Mental Health Services, PLLC Psychologist CurrentSince Oct 7, 2024 Accepting new patients
Special Education Consultants of Ma, LLC Psychologist Past Accepting new patients

Locations

111 Speen St
Ste 110
Framingham, MA 01701
Phone (508) 290-5156

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1265668818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MAIN ST",
            "address_2": "SUITE 115",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "01757",
            "telephone_number": "508-478-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SPEEN ST STE 110",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017012000",
            "telephone_number": "508-290-5156",
            "fax_number": "508-443-6024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Main St.",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "01757",
            "country_code": "US",
            "telephone_number": "781-223-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREVELIGE",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "403756",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "LEP1018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HAUSSMANN",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "ED.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.