Organization Active NPI

Sarah Anthoney, PH.D., PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Urbandale, IA
National Provider Identifier
1831801588
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SARAH ANTHONEY, PH.D., PLLC
Doing business as
Sarah Fetter, Ph.D., PLLC
Practice address
2955 100TH St Ste 4
Urbandale, IA 50322-5500
Phone
(515) 400-0606
Fax
(515) 405-4242
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Dr. Sarah Fetter, PHDNPI 1821575663
Title
Owner/Licensed Psychologist
Phone
(515) 400-0606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 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

  • Sarah Fetter, Ph.D., PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221223001261 IA Part B Supplier - Clinic/Group Practice 0042680605 Receives reassigned benefits from 1 practitioner
Practice locations: Urbandale, IA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1831801588",
    "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": {
        "organization_name": "SARAH ANTHONEY, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "FETTER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "515-400-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah Fetter, Ph.D., PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sarah Fetter, Ph.D., PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.