Active NPI
Sarah JB Orth, PSY.D.
- Clinical Psychologist
- Crystal Lake, IL
National Provider Identifier
1811038862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-006358
- Practice address
- 101 N Virginia St
Suite 245
Crystal Lake, IL 60014-3426 - Phone
- (708) 288-2735
- Fax
- (708) 590-3351
- NPI assigned
- Feb 11, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-006358 | IL | Primary |
Addresses
Primary practice location
101 N Virginia St
Suite 245
Crystal Lake, IL 60014-3426
Mailing address
101 N Virginia St
Suite 245
Crystal Lake, IL 60014-3426
Phone (708) 288-2735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01632854 | Other | IL | BCBSIL PPO PROVIDER NUMBE |
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 |
|---|---|---|---|
| 071-006358 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1811038862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N VIRGINIA ST",
"address_2": "SUITE 245",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143426",
"telephone_number": "708-288-2735",
"fax_number": "708-590-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N VIRGINIA ST",
"address_2": "SUITE 245",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143426",
"telephone_number": "708-288-2735",
"fax_number": "708-590-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTH",
"first_name": "SARAH",
"middle_name": "JB",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-11",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-006358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL PPO PROVIDER NUMBE",
"identifier": "01632854",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.