Active NPI
Robert Scott Sardy, PH.D.
- Clinical Psychologist
- Woburn, MA
National Provider Identifier
1457643561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10907
- Practice address
- 500 Unicorn Park Dr Ste 300
Woburn, MA 01801-3345 - Phone
- (781) 214-1165
- NPI assigned
- May 7, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10907 | MA | Primary |
Addresses
Primary practice location
500 Unicorn Park Dr Ste 300
Woburn, MA 01801-3345
Mailing address
335 Washington St # 1010
Woburn, MA 01801-2115
Phone (415) 595-0166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 1, 2025 through Mar 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1457643561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 WASHINGTON ST # 1010",
"city": "WOBURN",
"state": "MA",
"postal_code": "018012115",
"telephone_number": "415-595-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNICORN PARK DR STE 300",
"city": "WOBURN",
"state": "MA",
"postal_code": "018013345",
"telephone_number": "781-214-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARDY",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-07",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.