Active NPI
Sarah Gentile, MA
- Professional Counselor
- Roslindale, MA
National Provider Identifier
1396245379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10325
- Practice address
- 111 Ardale St.
Roslindale, MA 02131-0213 - Phone
- (617) 784-9532
- Fax
- (617) 784-9532
- NPI assigned
- Feb 16, 2018
- Last updated
- Feb 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10325 | MA | Primary |
Addresses
Primary practice location
111 Ardale St.
Roslindale, MA 02131-0213
Mailing address
111 Ardale St
Roslindale, MA 02131-1440
Phone (617) 784-9532
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10325 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1396245379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ARDALE ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021311440",
"telephone_number": "617-784-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ARDALE ST.",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021310213",
"telephone_number": "617-784-9532",
"fax_number": "617-784-9532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "SARAH",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "10325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.