Individual provider Active NPI

Julie G Fink-Sullivan, PSY D

  • Psychologist
  • Saratoga Springs, NY
National Provider Identifier
1326018102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
010137 Issued in NY
Practice address
4 Franklin SQ
Saratoga Springs, NY 12866-2141
Phone
(518) 583-0963
Fax
(518) 583-0369
NPI assigned
Jan 25, 2006
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
Psychologist 103T00000X 010137 NY Primary

Addresses

Primary practice location

4 Franklin SQ
Saratoga Springs, NY 12866-2141

Mailing address

4 Franklin SQ
Saratoga Springs, NY 12866-2141
Phone (518) 583-0963

Other names 1

  • Julie G Fink Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000022 NY Practitioner - Clinical Psychologist 2961452909 Practice locations: Saratoga Springs, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Franklin SQ
Saratoga Springs, NY 12866-2141
Phone (518) 583-0963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326018102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FRANKLIN SQ",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662141",
            "telephone_number": "518-583-0963",
            "fax_number": "518-583-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FRANKLIN SQ",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662141",
            "telephone_number": "518-583-0963",
            "fax_number": "518-583-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK-SULLIVAN",
        "first_name": "JULIE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "FINK",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.