Individual provider Active NPI

Sara Nett, PSY.D.

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1346579828
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04679 Issued in MD
Practice address
1501 Sulgrave Ave # 313
Baltimore, MD 21209-3654
Phone
(443) 470-3124
NPI assigned
Dec 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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 04679 MD Primary

Addresses

Primary practice location

1501 Sulgrave Ave # 313
Baltimore, MD 21209-3654

Mailing address

1501 Sulgrave Ave # 313
Baltimore, MD 21209-3654
Phone (443) 470-3124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04679MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Sky Therapy Services, LLC Clinical PastSince Mar 1, 2016 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1346579828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE # 313",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093654",
            "telephone_number": "443-470-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE # 313",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093654",
            "telephone_number": "443-470-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETT",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.