Active NPI
Sara J Stockwell, ED.S.
- School Psychologist
- Perrysburg, OH
National Provider Identifier
1831827484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SP.00693
- Practice address
- 1070 Commerce Dr Ste 301
Perrysburg, OH 43551-5284 - Phone
- (419) 931-3029
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- No
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.
-
- Mental Health Counselor
- Sylvania, OH
- NPI 1124345152
Psychologist
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 |
|---|---|---|---|
| SP.00693 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Solutions in Brief Therapy, Inc. | Psychologist | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SP.00693 | OH | |
| School Psychologist | 103TS0200X | SP.00693 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1070 Commerce Dr Ste 301
Perrysburg, OH 43551-5284
Mailing address
475 E Water St
Oak Harbor, OH 43449-1534
Phone (419) 261-7272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2024.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732320000000",
"number": "1831827484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 E WATER ST",
"city": "OAK HARBOR",
"state": "OH",
"postal_code": "434491534",
"telephone_number": "419-261-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 COMMERCE DR STE 301",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515284",
"telephone_number": "419-931-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKWELL",
"first_name": "SARA",
"middle_name": "J",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2024-11-23",
"certification_date": "2024-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "SP.00693",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "SP.00693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.