Active NPI
Sara Baldwin Howze
- Psychologist
- Melbourne, FL
National Provider Identifier
1730236803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY 4156
- Practice address
- 1507 Riverview Dr
Melbourne, FL 32901-4625 - Phone
- (321) 984-0708
- Fax
- (321) 984-9060
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY 4156 | FL | |
| Family Psychologist | 103TF0000X | PY 4156 | FL | |
| Psychologist | 103T00000X | PY 4156 | FL | Primary |
Addresses
Primary practice location
1507 Riverview Dr
Melbourne, FL 32901-4625
Mailing address
1507 Riverview Dr
Melbourne, FL 32901-4625
Phone (321) 984-0708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068183 | Other | FL | VALUE OPTIONS PROVIDER # |
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 4156 | FL | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1730236803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 RIVERVIEW DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329014625",
"telephone_number": "321-984-0708",
"fax_number": "321-984-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 RIVERVIEW DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329014625",
"telephone_number": "321-984-0708",
"fax_number": "321-984-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWZE",
"first_name": "SARA",
"middle_name": "BALDWIN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY 4156",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "FL",
"license": "PY 4156",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY 4156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER #",
"identifier": "068183",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.