Active NPI
Sarah Megan Anderson, PSY.D.
- Psychologist
- Orland Park, IL
National Provider Identifier
1578896130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071.009645
- Practice address
- 10310 Orland Pkwy Ste 201
Orland Park, IL 60467-5604 - Phone
- (708) 995-1167
- NPI assigned
- Sep 15, 2009
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071.009645 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
10310 Orland Pkwy Ste 201
Orland Park, IL 60467-5604
Mailing address
20354 Fallingwater Cir
Frankfort, IL 60423-1806
Phone (815) 258-2350
Other practice location 1
750 Tilden St
Bronx, NY 10467-6013
Phone (718) 231-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00245029 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009645 | IL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insightful Solutions PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Orland Park, IL
- NPI 1942648761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1578896130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20354 FALLINGWATER CIR",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604231806",
"telephone_number": "815-258-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10310 ORLAND PKWY STE 201",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675604",
"telephone_number": "708-995-1167"
}
],
"practiceLocations": [
{
"address_1": "750 Tilden St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104676013",
"country_code": "US",
"telephone_number": "718-231-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "SARAH",
"middle_name": "MEGAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.009645",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00245029",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
- Amanda Kay Amiti, FNP, PMHNP-BC
- Anchored in Health SC
- Anderson Tiernan Podiatry PC (Advanced Foot and Ankle Center of Orland Park)
- Courtney Jean Anderson, PHARMD
- Kenneth W Anderson III, M.D.
- Shana Marie Anderson, LPC
- Stephanie Anderson, MS CCC-SLP/L
- Verneisha Anderson
- Sara Jane Andrea-Neill, PTA
- Manuela Andujar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.