Active NPI
Sarah Gates Collard, PH.D.
- Clinical Psychologist
- Yreka, CA
National Provider Identifier
1720025232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 17728
- Practice address
- 2060 Campus Dr
Yreka, CA 96097-9538 - Phone
- (541) 890-0034
- NPI assigned
- Jun 1, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1680 | OR | |
| Clinical Psychologist | 103TC0700X | 17728 | CA | Primary |
Addresses
Primary practice location
2060 Campus Dr
Yreka, CA 96097-9538
Mailing address
2060 Campus Dr
Yreka, CA 96097-9538
Phone (541) 890-0034
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1680 | OR | MD | Clinical Psychologist |
| 17728 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1720025232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 CAMPUS DR",
"city": "YREKA",
"state": "CA",
"postal_code": "960979538",
"telephone_number": "541-890-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 CAMPUS DR",
"city": "YREKA",
"state": "CA",
"postal_code": "960979538",
"telephone_number": "541-890-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLARD",
"first_name": "SARAH",
"middle_name": "GATES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1680",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "17728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.