Individual provider Active NPI

Sarah Kiperman

  • Clinical Psychologist
  • Rhinebeck, NY
National Provider Identifier
1790294528
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301017870 Issued in MI
Practice address
6339 Mill St
Rhinebeck, NY 12572-1427
Phone
(845) 871-1000
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X
Clinical Psychologist 103TC0700X 6301017870 MI Primary

Addresses

Primary practice location

6339 Mill St
Rhinebeck, NY 12572-1427

Mailing address

6339 Mill St
Rhinebeck, NY 12572-1427
Phone (845) 871-1000

Other practice location 1

30503 Greenfield Rd
Southfield, MI 48076-1594
Phone (248) 691-4744

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skiperman1006162@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1790294528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 MILL ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721427",
            "telephone_number": "845-871-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 MILL ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721427",
            "telephone_number": "845-871-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30503 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480761594",
            "country_code": "US",
            "telephone_number": "248-691-4744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIPERMAN",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skiperman1006162@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "30503 Greenfield Rd",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480761594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.