Sarah J Gauthier LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005954 Issued in VA

Legal business name

SARAH J GAUTHIER LLC

Practice address

708 Mobjack PL
Newport News, VA 23606-1957

Phone

(757) 873-1958

NPI assigned

May 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Jane Gauthier, DCLINPSYCH

Title

Owner

Phone

(757) 788-6260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1265921803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT LO CT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061543",
            "telephone_number": "757-788-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 MOBJACK PL",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061957",
            "telephone_number": "757-873-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH J GAUTHIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-788-6260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DCLINPSYCH"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.