Individual provider Active NPI

Sarah Diperna, PSY.D.

  • Clinical Psychologist
  • Pompano Beach, FL
National Provider Identifier
1275743593
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7040 Issued in FL
Practice address
812 NE 4TH Ave
Pompano Beach, FL 33060-6213
Phone
(954) 560-7629
Fax
(954) 784-6469
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7040 FL Primary

Addresses

Primary practice location

812 NE 4TH Ave
Pompano Beach, FL 33060-6213

Mailing address

812 NE 4TH Ave
Pompano Beach, FL 33060-6213
Phone (954) 560-7629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY7040FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275743593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 NE 4TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606213",
            "telephone_number": "954-560-7629",
            "fax_number": "954-784-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 NE 4TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606213",
            "telephone_number": "954-560-7629",
            "fax_number": "954-784-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPERNA",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.