Individual provider Active NPI

Sarah Doyle, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Keene Valley, NY
National Provider Identifier
1689126450
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403003-01 Issued in NY
Practice address
44 Market St # 669
Keene Valley, NY 12943-7700
Phone
(518) 637-1358
NPI assigned
Oct 27, 2016
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95020879 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403003-01 NY Primary
Registered Nurse 163W00000X 657453 NY
Registered Nurse 163W00000X NP95020879 CA
Registered Nurse 163W00000X 60670 NM

Addresses

Primary practice location

44 Market St # 669
Keene Valley, NY 12943-7700

Mailing address

PO Box 669
Keene Valley, NY 12943-0669
Phone (518) 637-1358

Other identifiers 1

IdentifierTypeStateIssuer
061339621MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200805000724 NY Practitioner - Nurse Practitioner 8729403902
I20220616000405 CA Practitioner - Nurse Practitioner 8729403902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60670NMMDRegistered Nurse
657453NYMDRegistered Nurse
F403003-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Segal Telepsychiatry Network CurrentSince May 4, 2022 Accepting new patients
Segal Telepsychiatry Network, PLLC CurrentSince Nov 6, 2022 Accepting new patients

Locations

655 Redwood Hwy Frontage Rd
Ste 240
Mill Valley, CA 94941
Phone (866) 247-4292

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1689126450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "KEENE VALLEY",
            "state": "NY",
            "postal_code": "129430669",
            "telephone_number": "518-637-1358",
            "fax_number": "518-412-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MARKET ST # 669",
            "city": "KEENE VALLEY",
            "state": "NY",
            "postal_code": "129437700",
            "telephone_number": "518-637-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "SARAH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95020879",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403003-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "657453",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "NP95020879",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "60670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061339621",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene Valley, NY

Sources for this page

Verify at the official NPI Registry.