Individual provider Active NPI

Colleen E Sari, MD

  • Psychiatry Physician
  • Brewster, MA
National Provider Identifier
1306832324
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
279422 Issued in MA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000858344OtherPAHIGHMARK
0015383829MedicaidPA

Other names 1

  • Colleen E. Smart Former name

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

LicenseStateTypeSpecialty
279422MAMDPsychiatry Physician
MD058183LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Latham Centers, Inc. CurrentSince Aug 11, 2024 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.

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.

Verify at the official NPI Registry.