Sarah Willard Penegar, PH. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P-904TN Issued in TN

Practice address

3820 Woodhill PL
Knoxville, TN 37919-6655

Phone

(865) 691-5949

Fax

(865) 523-2854

NPI assigned

Sep 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Clinical Psychologist

Education

University of Tennessee, HSC, College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902890494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 WOODHILL PL",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196655",
            "telephone_number": "865-691-5949",
            "fax_number": "865-523-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 WOODHILL PL",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196655",
            "telephone_number": "865-691-5949",
            "fax_number": "865-523-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENEGAR",
        "first_name": "SARAH",
        "middle_name": "WILLARD",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P-904TN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "620944661-02",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "005153",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3683781",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BL;UE CROSS/BLUE SHIELD O",
            "identifier": "0025798",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Pemberton, PH.D.
• Brent Alan Pendergast, P.T.
• Logan B. Pendergrass, PT
• William R Pendergrass, PT
• Hannah Pendleton, BCBA, LBA
• Peninsula Outpatient Pharmacy - Knox
• Margie Nell Penn
• Marissa Leah Penn, LCSW
• Eric R Penniman, DO
• Amy Pennington-Springs, LPN

• Clinical Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.