Individual provider Active NPI

Sarah Jean Tartar, PH.D.

  • Clinical Neuropsychologist
  • Clive, IA
National Provider Identifier
1952631897
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
096569 Issued in IA
Practice address
12493 University Ave Ste 100
Clive, IA 50325-8286
Phone
(515) 358-0060
NPI assigned
Dec 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 003072 CT
Clinical Neuropsychologist 103G00000X 096569 IA Primary

Addresses

Primary practice location

12493 University Ave Ste 100
Clive, IA 50325-8286

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-0060

Other identifiers 1

IdentifierTypeStateIssuer
008030728MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110218000984 CT Practitioner - Clinical Psychologist 8325229628 Reassigns benefits to 3 organizations
I20191017000768 IA Practitioner - Clinical Psychologist 8325229628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

12493 University Ave
Clive, IA 50325-8286

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003072CTMDSocial Worker
3072CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Hospital CurrentSince Nov 17, 2010 Accepting new patients
Mercy Clinics, Inc Clinical Neuropsychologist CurrentSince Oct 17, 2019 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Hartford Hospital CurrentSince Nov 17, 2010 Accepting new patients
Hartford Hospital CurrentSince Nov 17, 2010 Accepting new patients
Northeast Neuropsychology, LLC Clinical Neuropsychologist CurrentSince Mar 23, 2011 Accepting new patients
Mercy Clinics, Inc. CurrentSince Oct 17, 2019 Accepting new patients
Advanced Telepsych PLLC PastSince Jan 1, 2024 Accepting new patients
James W. Pier, PH.D., LLC Clinical Neuropsychologist Past Accepting new patients

Locations

700 W Johnson Ave
Ste 310
Cheshire, CT 06410
Phone (203) 272-6007

609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007

200 Retreat Ave
Hartford, CT 06106
Phone (860) 545-7000

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

12493 University Ave
Ste 100
Des Moines, IA 50325
Phone (515) 358-0060

1111 6th Ave
Ste B1
Des Moines, IA 50314
Phone (515) 358-0100

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

Organizations & group practices 9

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": "1261872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1952631897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-358-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12493 UNIVERSITY AVE STE 100",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258286",
            "telephone_number": "515-358-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTAR",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-27",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CT",
            "license": "003072",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IA",
            "license": "096569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008030728",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.