Active NPI
Sara Kate Zachary Thompson, PSY.D.
- Psychologist
- Pinellas Park, FL
National Provider Identifier
1619257896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 9616
- Practice address
- 5046 73Rd Ave N
Pinellas Park, FL 33781-4350 - Phone
- (727) 541-5436
- NPI assigned
- Aug 19, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY 9616 | FL | Primary |
Addresses
Primary practice location
5046 73Rd Ave N
Pinellas Park, FL 33781-4350
Mailing address
5046 73Rd Ave N
Pinellas Park, FL 33781-4350
Phone (727) 541-5436
Other names 1
- Sara Kate Zachary
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 9616 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1619257896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5046 73RD AVE N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337814350",
"telephone_number": "727-541-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5046 73RD AVE N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337814350",
"telephone_number": "727-541-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARY THOMPSON",
"first_name": "SARA",
"middle_name": "KATE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY 9616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "ZACHARY",
"middle_name": "KATE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.