Individual provider Active NPI

Sara Rachel Elkins, BA

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1740446319
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36810 Issued in TX
Practice address
4349 Martin Luther King Blvd Health 2 BLDG Suite 1001E
Houston, TX 77204-0001
Phone
(713) 743-9682
Fax
(713) 743-1049
NPI assigned
Aug 4, 2008
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 36810 TX
Clinical Psychologist 103TC0700X 36810 TX Primary

Addresses

Primary practice location

4349 Martin Luther King Blvd Health 2 BLDG Suite 1001E
Houston, TX 77204-0001

Mailing address

Dept 888182
Knoxville, TN 37995-0001
Phone (800) 355-3565

Other names 1

  • Sara Rachel Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019001928 TX Practitioner - Clinical Psychologist 8123474640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uh HealthGroup PAC ID 5496137499, 15 clinicians

Practice addresses (Care Compare)

4349 Martin Luther King Blvd
1001 Health 2 BLDG
Houston, TX 77204-3019
Phone (713) 743-9682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
36810TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Uh Health Clinical CurrentSince Oct 1, 2023 Accepting new patients

Locations

4349 Martin Luther King Blvd
Ste 1001
Houston, TX 77204
Phone (713) 743-9682

4349 Martin Luther King Blvd
#2
Houston, TX 77204
Phone (713) 743-9682

4349 Martin Luther King Blvd
Ste 1001E
Houston, TX 77204
Phone (713) 743-9682

Interoperability endpoints

  • Direct secure messaging: sara.elkins.1@26199.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26199/brand/1/csg/1/fhir/r4

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1740446319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 888182",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379950001",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 MARTIN LUTHER KING BLVD HEALTH 2 BLDG SUITE 1001E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772040001",
            "telephone_number": "713-743-9682",
            "fax_number": "713-743-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "SARA",
        "middle_name": "RACHEL",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "36810",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SMITH",
            "middle_name": "RACHEL",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.