Individual provider Active NPI

Sarah Chipps, PSYD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1326477456
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020206 Issued in NY
Practice address
71 W 12TH St
New York, NY 10011-8564
Phone
(415) 680-6508
Fax
(917) 398-1662
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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 020206 NY Primary

Addresses

Primary practice location

71 W 12TH St
New York, NY 10011-8564

Mailing address

836 Dekalb Ave
Apt 4a
Brooklyn, NY 11221
Phone (415) 680-6508

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
020206NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sarah Chipps Psychological Services P.C. Clinical CurrentSince Apr 24, 2022 Accepting new patients
Sanctuary Psychology Past Accepting new patients
Clinical Therapeutic Support LCSW PC Past Accepting new patients

Locations

110 16th St
Ste 1400
Denver, CO 80202
Phone (561) 319-6696

190 N 10th St
Ste 203
Brooklyn, NY 11211
Phone (646) 779-7172

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1326477456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 DEKALB AVE",
            "address_2": "APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11221",
            "telephone_number": "415-680-6508",
            "fax_number": "917-398-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W 12TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118564",
            "telephone_number": "415-680-6508",
            "fax_number": "917-398-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPPS",
        "first_name": "SARAH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.