Sarah Lisbeth Sirbasku Williams, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004728 Issued in VA

Practice address

1604 Spring Hill Rd
Suite 300
Vienna, VA 22182-7510

Phone

(571) 766-8717

NPI assigned

Jul 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sarah Lisbeth Sirbasku Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluebonnet Trails Community MHMR Center

  dba Bluebonnet Trails Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1730135864

  Clinical

  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1417961756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 W BROAD ST",
            "address_2": "SUITE 249",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464610",
            "telephone_number": "571-766-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SPRING HILL RD",
            "address_2": "SUITE 300",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221827510",
            "telephone_number": "571-766-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRBASKU WILLIAMS",
        "first_name": "SARAH",
        "middle_name": "LISBETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SIRBASKU",
            "middle_name": "LISBETH",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Simpliciti Medspa LLC
• Johanna Sims
• Benjamin Simser
• Alexis Nicole Singer
• Pawanprit Kaur Singh, PHARMD
• Maria Lourdes Sison-Wright, PT
• Kimberly G Sitter, PHD
• Frederick Conrad Sitzler, LPC
• Bethany Siu, PA-C
• Skin and Laser Surgery Center

• Clinical Psychologist in Vienna, VA
• Providers in Vienna, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.