Active NPI
Sarah E Conklin, PSY.D.
- Health Service Psychologist
- N Dartmouth, MA
National Provider Identifier
1689978892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 9263
- Practice address
- 285 Old Westport Rd
Counseling Center
N Dartmouth, MA 02747-2356 - Phone
- (508) 999-8650
- NPI assigned
- Jan 3, 2011
- Last updated
- Jan 3, 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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 9263 | MA | Primary |
Addresses
Primary practice location
285 Old Westport Rd
Counseling Center
N Dartmouth, MA 02747-2356
Mailing address
285 Old Westport Rd
Counseling Center
N Dartmouth, MA 02747-2356
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 |
|---|---|---|---|
| 9263 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1689978892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 OLD WESTPORT RD",
"address_2": "COUNSELING CENTER",
"city": "N DARTMOUTH",
"state": "MA",
"postal_code": "027472356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 OLD WESTPORT RD",
"address_2": "COUNSELING CENTER",
"city": "N DARTMOUTH",
"state": "MA",
"postal_code": "027472356",
"telephone_number": "508-999-8650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLIN",
"first_name": "SARAH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MA",
"license": "9263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.