Individual provider Active NPI

Lydia Sagar, PSY.D.

  • Clinical Psychologist
  • Bedford, TX
National Provider Identifier
1407293137
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36413 Issued in TX
Practice address
1901 Central Dr Ste 160
Bedford, TX 76021-5823
Phone
(682) 289-0546
Fax
(855) 658-1426
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 36413 TX
Clinical Psychologist 103TC0700X 36413 TX Primary

Addresses

Primary practice location

1901 Central Dr Ste 160
Bedford, TX 76021-5823

Mailing address

1901 Central Dr Ste 160
Bedford, TX 76021-5823
Phone (682) 289-0546

Other practice location 1

7165 Colleyville Blvd Ste 101
Colleyville, TX 76034-8009
Phone (682) 289-0546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130829000770 TX Practitioner - Clinical Psychologist 9234372830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salt and Light Psychological Services PLLCGroup PAC ID 3072908565, 6 clinicians

Practice addresses (Care Compare)

1901 Central Dr
Suite 160
Bedford, TX 76021-5823
Phone (682) 289-0546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36413TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Salt and Light Psychological Services PLLC Clinical CurrentSince Nov 9, 2021 Accepting new patients

Locations

1901 Central Dr
Ste 160
Bedford, TX 76021
Phone (682) 289-0525

7165 Colleyville Blvd
Ste 101
Colleyville, TX 76034
Phone (682) 289-0546

1452 Hughes Rd
Ste 232
Grapevine, TX 76051

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1407293137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CENTRAL DR STE 160",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215823",
            "telephone_number": "682-289-0546",
            "fax_number": "855-658-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CENTRAL DR STE 160",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215823",
            "telephone_number": "682-289-0546",
            "fax_number": "855-658-1426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7165 Colleyville Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760348009",
            "country_code": "US",
            "telephone_number": "682-289-0546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGAR",
        "first_name": "LYDIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "36413",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.