Active NPI
Sarah McIntosh, PSY.D.
- Forensic Psychologist
- Newport Beach, CA
National Provider Identifier
1396066684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY26634
- Practice address
- 901 Dove St
Ste 150
Newport Beach, CA 92660-3018 - Phone
- (949) 614-5719
- NPI assigned
- Jun 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY26634 | CA | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PSY26634 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X |
Addresses
Primary practice location
901 Dove St
Ste 150
Newport Beach, CA 92660-3018
Mailing address
901 Dove St
Ste 150
Newport Beach, CA 92660-3018
Phone (949) 614-5719
Other names 1
- Sarah Larson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161007000757 | CA | Practitioner - Clinical Psychologist | 6608164660 | Practice locations: Newport Beach, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
901 Dove St
Newport Beach, CA 92660-3018
Phone (949) 614-5719
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26634 | CA | MD | Addiction (Substance Use Disorder) Psychologist |
| 26634 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1396066684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 DOVE ST",
"address_2": "STE 150",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926603018",
"telephone_number": "949-614-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 DOVE ST",
"address_2": "STE 150",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926603018",
"telephone_number": "949-614-5719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "SARAH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY26634",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "PSY26634",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "LARSON",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.