Active NPI
Cristin Marie Saffo, PSY.D.
- Psychologist
- Youngsville, LA
National Provider Identifier
1790752517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1646
- Practice address
- 100 Habersham Dr
Youngsville, LA 70592-5116 - Phone
- (336) 524-1628
- Fax
- (336) 792-5896
- NPI assigned
- Mar 1, 2006
- Last updated
- Oct 23, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7380 | MA | |
| Psychologist | 103T00000X | 4732 | NC | |
| Psychologist | 103T00000X | 1646 | LA | Primary |
Addresses
Primary practice location
100 Habersham Dr
Youngsville, LA 70592-5116
Mailing address
4400 Ambassador Caffery Pkwy
Ste a #108
Lafayette, LA 70508-6760
Phone (336) 524-1628
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2020 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1646 | LA | MD | Psychologist |
| 7380 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Psychology, LLC | Psychologist | Current | Accepting new patients |
| Pathways Psychological Services, LLC | Psychologist | Past | Accepting new patients |
| Walpole Physical Therapy Services, Inc | Past | Accepting new patients | |
| Boston Healthcare Inc | Past | Accepting new patients |
Locations
4400 Ambassador Caffery Pkwy
Ste A
Lafayette, LA 70508
Organizations & group practices 4
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.
-
- Psychologist
- Youngsville, LA
- NPI 1316657653
-
- Psychologist
- Brighton, MA
- NPI 1093851800
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walpole, MA
- NPI 1821065640
-
- Physical Therapist
- Walpole, MA
- NPI 1477675916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1790752517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 AMBASSADOR CAFFERY PKWY",
"address_2": "STE A #108",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086760",
"telephone_number": "336-524-1628",
"fax_number": "336-792-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HABERSHAM DR",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925116",
"telephone_number": "336-524-1628",
"fax_number": "336-792-5896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFFO",
"first_name": "CRISTIN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2024-10-23",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7380",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4732",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "LA",
"license": "1646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.