Individual provider Active NPI

Sara Beth Sala, M.D.

  • Psychiatry Physician
  • New London, CT
National Provider Identifier
1417243676
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
53156 Issued in CT
Practice address
365 Montauk Ave
New London, CT 06320-4700
Phone
(860) 442-0711
NPI assigned
Jun 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD19780 RI
Psychiatry Physician 2084P0800X 53156 CT Primary

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

200 Retreat Ave
Hartford, CT 06102-3101
Phone (860) 545-7033

Other names 1

  • Miss Sara Beth Wilcox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160422001940 CT Practitioner - Psychiatry 3779882857 Reassigns benefits to 5 organizations
I20240613002142 RI Practitioner - Psychiatry 3779882857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Connecticut School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 444-3735

45 Wells St
Suite 104
Westerly, RI 02891-2927
Phone (401) 348-0008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19780RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natchaug Hospital, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Hartford Hospital CurrentSince Feb 2, 2016 Accepting new patients
Northeast Medical Group, Inc. Psychiatry CurrentSince Jul 15, 2024 Accepting new patients
Hartford Hospital CurrentSince Feb 2, 2016 Accepting new patients
Hartford Hospital Psychiatry CurrentSince Feb 2, 2016 Accepting new patients
The William W Backus Hospital CurrentSince May 13, 2017 Accepting new patients
William W Backus Hospital CurrentSince May 13, 2017 Accepting new patients
Northeast Medical Group, Inc CurrentSince Jul 15, 2024 Accepting new patients
Women'S Health of Westerly, LLC PastSince Jul 15, 2024 Accepting new patients

Locations

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

45 Wells St
Ste 104
Westerly, RI 02891
Phone (401) 348-0008

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

Interoperability endpoints

  • Direct secure messaging: sara.sala@xdr.hhchealthdirect.org
  • Direct secure messaging: ssala663303@direct.ynhh.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1417243676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RETREAT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061023101",
            "telephone_number": "860-545-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALA",
        "first_name": "SARA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD19780",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "53156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "WILCOX",
            "middle_name": "BETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.