Individual provider Active NPI

Sarah Rebecca Fetter, PHD, LP

  • Psychologist
  • Urbandale, IA
National Provider Identifier
1821575663
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
001289 Issued in IA
Practice address
2955 100TH St Ste 4
Urbandale, IA 50322-5500
Phone
(515) 400-0606
Fax
(515) 405-4242
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 091623 IA
Psychologist 103T00000X 001289 IA Primary

Addresses

Primary practice location

2955 100TH St Ste 4
Urbandale, IA 50322-5500

Mailing address

2955 100TH St Ste 4
Urbandale, IA 50322-5500
Phone (515) 400-0606

Other names 1

  • Dr. Sarah Fetter Anthoney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20221228001195 IA Practitioner - Clinical Psychologist 2466822903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2955 100TH St
Suite 4
Urbandale, IA 50322-5500
Phone (515) 400-0606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
091623IAMDHealth Service Psychologist
001289IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Anthoney, PH.D., PLLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

2955 100th St
Ste 4
Urbandale, IA 50322
Phone (515) 400-0606

5000 Westown Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 400-0606

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1821575663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 100TH ST STE 4",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503225500",
            "telephone_number": "515-400-0606",
            "fax_number": "515-405-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 100TH ST STE 4",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503225500",
            "telephone_number": "515-400-0606",
            "fax_number": "515-405-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTER",
        "first_name": "SARAH",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IA",
            "license": "091623",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "001289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ANTHONEY",
            "middle_name": "FETTER",
            "prefix": "DR.",
            "credential": "PHD, LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.