Active NPI
Dorothy Ann Sautter, PSYCHOLOGIST
- Counseling Psychologist
- Pocono Summit, PA
National Provider Identifier
1760568646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PC002559
- Practice address
- 4043 Glade Drive
Pocono Summit, PA 19146 - Phone
- (570) 646-6751
- NPI assigned
- Oct 31, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PC002559 | PA | Primary |
Addresses
Primary practice location
4043 Glade Drive
Pocono Summit, PA 19146
Mailing address
P.O. Box 957
4043 Glade Drive
Pocono Summit, PA 19146
Phone (570) 646-6751
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC002559 | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760568646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 957",
"address_2": "4043 GLADE DRIVE",
"city": "POCONO SUMMIT",
"state": "PA",
"postal_code": "19146",
"telephone_number": "570-646-6751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4043 GLADE DRIVE",
"city": "POCONO SUMMIT",
"state": "PA",
"postal_code": "19146",
"telephone_number": "570-646-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUTTER",
"first_name": "DOROTHY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PC002559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocono Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.