Individual provider Active NPI

Gary Robert Sager, ED.D.

  • Psychologist
  • Urbandale, IA
National Provider Identifier
1376377986
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
127766 Issued in IA
Practice address
8553 Urbandale Ave
Urbandale, IA 50322-4108
Phone
(515) 274-4006
NPI assigned
Aug 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 127766 IA Primary

Addresses

Primary practice location

8553 Urbandale Ave
Urbandale, IA 50322-4108

Mailing address

8553 Urbandale Ave
Urbandale, IA 50322-4108
Phone (515) 274-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20241109000146 IA Practitioner - Clinical Psychologist 2163956491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Des Moines Pastoral Counseling CenterGroup PAC ID 0749272649, 22 clinicians

Practice addresses (Care Compare)

8553 Urbandale Ave
Urbandale, IA 50322-4108
Phone (515) 274-4006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127766IAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Spirit Counseling Center CurrentSince Aug 22, 2024 Accepting new patients

Locations

8553 Urbandale Ave
Urbandale, IA 50322
Phone (515) 274-4006

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1376377986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 URBANDALE AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224108",
            "telephone_number": "515-274-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8553 URBANDALE AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224108",
            "telephone_number": "515-274-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGER",
        "first_name": "GARY",
        "middle_name": "ROBERT",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "127766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.