Individual provider Active NPI

Sally J Briggs, PHD

  • Psychologist
  • Orchard Park, NY
National Provider Identifier
1780767566
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0098371 Issued in NY
Practice address
70 Linwood Ave
Orchard Park, NY 14127-2308
Phone
(716) 836-9460
NPI assigned
Oct 23, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0098371 NY Primary

Addresses

Primary practice location

70 Linwood Ave
Orchard Park, NY 14127-2308

Mailing address

70 Linwood Ave
Orchard Park, NY 14127-2308
Phone (716) 836-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050421001223 NY Practitioner - Clinical Psychologist 0042258857 Practice locations: Orchard Park, NY; Amherst, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

315 Alberta Dr
Suite 211
Amherst, NY 14226-1814
Phone (716) 837-6705

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0098371NYMDPsychologist
009837NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony F Bongiovanni 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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1780767566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LINWOOD AVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272308",
            "telephone_number": "716-836-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LINWOOD AVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272308",
            "telephone_number": "716-836-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "SALLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0098371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.