Active NPI
Colleen E Sari, MD
- Psychiatry Physician
- Brewster, MA
National Provider Identifier
1306832324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 279422
- Practice address
- Latham Centers 1646 Main St
Brewster, MA 02631 - Phone
- (508) 237-2110
- Fax
- (508) 896-6782
- NPI assigned
- Sep 26, 2005
- Last updated
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD058183L | PA | |
| Psychiatry Physician | 2084P0800X | 279422 | MA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD058183L | PA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 279422 | MA |
Addresses
Primary practice location
Latham Centers 1646 Main St
Brewster, MA 02631
Mailing address
26 Shawme Rd
Sandwich, MA 02563
Phone (412) 512-0822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000858344 | Other | PA | HIGHMARK |
| 0015383829 | Medicaid | PA |
Other names 1
- Colleen E. Smart
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279422 | MA | MD | Psychiatry Physician |
| MD058183L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latham Centers, Inc. | Current | Accepting new patients |
Locations
1646 Route 6A
Brewster, MA 02631
Phone (508) 896-5776
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Brewster, MA
- NPI 1467768812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1306832324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SHAWME RD",
"city": "SANDWICH",
"state": "MA",
"postal_code": "02563",
"telephone_number": "412-512-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LATHAM CENTERS 1646 MAIN ST",
"city": "BREWSTER",
"state": "MA",
"postal_code": "02631",
"telephone_number": "508-237-2110",
"fax_number": "508-896-6782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARI",
"first_name": "COLLEEN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD058183L",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "279422",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD058183L",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "279422",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "000858344",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015383829",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "SMART",
"middle_name": "E.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brewster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.