Sarah Aldridge, PSY.D.
Individual provider Active NPI Clinical Psychologist · Phoenix, AZ
NPI 1679004667 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1679004667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 4796 (AZ)
- Practice address
- 7600 N 15TH St
Suite 150
Phoenix, AZ 85020 - Phone
- (602) 563-6570
- Fax
- (602) 563-6575
- NPI assigned
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39002692A | IN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Life Family Health Center, Inc. | Past | Accepting new patients | |
| Sun Life Family Health Center, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 39002692A | IN | |
| Clinical Psychologist | 103TC0700X | 4796 | AZ | Yes |
Addresses
Primary practice location
7600 N 15TH St
Suite 150
Phoenix, AZ 85020
Mailing address
1801 E Camelback Rd Ste 102
Phoenix, AZ 85016-4165
Phone (602) 636-5705
Other providers in Phoenix, AZ
- John Aldinger
- Karissa Aldrete
- Brianna Aldrich
- Carolyn Sexton Aldrich
- Cindy L. Aldrich
- Basel Alebrahim
- Alec R Hovagim MD PC
- Amalia Katerina Aleck
- Mary Lou Aleck
- Alegre Care Home
All providers in Phoenix, AZ · Clinical Psychologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. 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.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.