Individual provider Active NPI

Sara J Stockwell, ED.S.

  • School Psychologist
  • Perrysburg, OH
National Provider Identifier
1831827484
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SP.00693 Issued in OH
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.

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

LicenseStateTypeSpecialty
SP.00693OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Solutions in Brief Therapy, Inc. Psychologist PastSince Aug 1, 2022 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SP.00693 OH
School Psychologist 103TS0200X SP.00693 OH Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.