Active NPI
Deborah Meles Sacks, PH.D.
- Psychologist
- Nokomis, FL
National Provider Identifier
1740323260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00 230800
- Practice address
- 5648 Semolino St
Nokomis, FL 34275 - Phone
- (941) 716-1000
- Fax
- (856) 354-0681
- NPI assigned
- Feb 14, 2007
- Last updated
- May 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00 230800 | NJ | Primary |
Addresses
Primary practice location
5648 Semolino St
Nokomis, FL 34275
Mailing address
5648 Semolino St
Nokomis, FL 34275
Phone (941) 716-1000
Other names 1
- Dr. Deborah Meles
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 |
|---|---|---|---|
| 35SI00 230800 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah Sacks, PH.D. | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1740323260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5648 SEMOLINO ST",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "34275",
"telephone_number": "941-716-1000",
"fax_number": "856-354-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5648 SEMOLINO ST",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "34275",
"telephone_number": "941-716-1000",
"fax_number": "856-354-0681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKS",
"first_name": "DEBORAH",
"middle_name": "MELES",
"name_prefix": "Mrs.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00 230800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "MELES",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Nokomis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.