Deborah Meles Sacks, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00 230800 Issued in NJ

Practice address

5648 Semolino St
Nokomis, FL 34275

Phone

(941) 716-1000

Fax

(856) 354-0681

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Deborah Meles Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deborah Sacks, PH.D.

  • Psychologist
  • Haddonfield, NJ
  • NPI 1659622637
  NPD (past) Authorized official

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"
        }
    ]
}

• Kimberly Reschenthaler
• Christina Lynn Roberts, RMCHI
• Tonishia Latoya Rodriguez
• Rooted Acupuncture and Wellness
• Matthew Dennis Sabo, MS, BCBA
• Robert J Sacks, DO
• Katelynn Sak
• Teresa Santos, APRN
• Sarasota Orthopedic Associates LLC
• Sarasota Pediatric Physical Therapy, Inc

• All providers in Nokomis, FL
• Psychologist in Florida

• 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.

Verify at the official NPI Registry.