Individual provider Active NPI

Sarah Rachel Stevens, PSYD

  • Psychologist
  • Huntington, WV
National Provider Identifier
1568728087
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1051 Issued in WV
Practice address
5170 US RT 60 East
Huntington, WV 25705-1642
Phone
(304) 528-4600
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1051 WV Primary

Addresses

Primary practice location

5170 US RT 60 East
Huntington, WV 25705-1642

Mailing address

5170 US RT 60 East
Huntington, WV 25705-1642
Phone (304) 528-4600

Other identifiers 3

IdentifierTypeStateIssuer
0067478MedicaidOH
3810023443MedicaidWV
7100316220MedicaidKY

Other names 1

  • Sarah Rachel Jarvis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SarahStephens@himg.directbygreenway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20120806000183 WV Practitioner - Clinical Psychologist 3375799455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1051WVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Health Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarahstephens@himg.directbygreenway.com

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1568728087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 US RT 60 EAST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051642",
            "telephone_number": "304-528-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 US RT 60 EAST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051642",
            "telephone_number": "304-528-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SARAH",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067478",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023443",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100316220",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SarahStephens@himg.directbygreenway.com",
            "affiliation": "N",
            "address_1": "5170 US RT 60 East",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257051642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "JARVIS",
            "middle_name": "RACHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.