Sara Lyn Alexakos, PSY.D.
Individual provider Active NPI Psychologist · Lynn, MA
NPI 1467513697 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467513697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 8528 (MA)
- Practice address
- 269 Union St
Lynn, MA 01901-1314 - Phone
- (781) 715-6294
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wellspring Psychological Services Inc
Practice addresses (Care Compare)
9829 Blue Larkspur LN
Suite 2
Monterey, CA 93940-6535
Phone (831) 647-8490
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201015003386 | CA | Practitioner - Clinical Psychologist | 3072933852 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8528 | MA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 8528 | MA | Yes |
Addresses
Primary practice location
269 Union St
Lynn, MA 01901-1314
Mailing address
29 Murdock St
Brighton, MA 02135-2859
Phone (617) 560-1630
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.