Sara Diane Allen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25786 Issued in TX

Practice address

1025 S Jupiter Rd
Garland, TX 75042-7708

Phone

(972) 272-4429

Fax

(972) 494-2812

NPI assigned

Nov 16, 2016

Last updated

Nov 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 30, 2023 through Dec 30, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Galaxy Counseling Center

  • Community/Behavioral Health Agency
  • Garland, TX
  • NPI 1184854945
  NPD (past)
• Galaxy Counseling Center

  • Mental Health Counselor
  • Garland, TX
  • NPI 1730249368
  NPD (past)

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1306388749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S JUPITER RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427708",
            "telephone_number": "972-272-4429",
            "fax_number": "972-494-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S JUPITER RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427708",
            "telephone_number": "972-272-4429",
            "fax_number": "972-494-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SARA",
        "middle_name": "DIANE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan S. Disraeli, M.D., P.a.
• Allison Claire Allbee
• Adelle Mary Allen, LPC
• Erica Allen, LPC, NCC
• Lindsey Allen
• Stephanie Jo Allen
• Victor Lee Allen, M.D.
• Allergy Clinic of Garland, P.a. (Premier Allergy & Asthma Associates)
• Allergy Partners of Texas, Inc. (Allergy Partners of Dallas-Fort Worth)
• Allsmiles PA

• Clinical Psychologist in Garland, TX
• Providers in Garland, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.