Active NPI
Sarah Fedak
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403369
- Practice address
- 109 W 27TH St RM 5S
New York, NY 10001-6208 - Phone
- (833) 351-8255
- NPI assigned
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403369 | NY | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 832571 | NV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP128646 | TX |
Addresses
Primary practice location
109 W 27TH St RM 5S
New York, NY 10001-6208
Mailing address
4618 Creekbend Dr
Houston, TX 77035-5016
Phone (832) 529-8336
Other practice location 1
950 W Bannock St
Boise, ID 83702-5999
Phone (833) 351-8255
Other practice location 2
10 W Broadway
Salt Lake City, UT 84101-2002
Phone (833) 351-8255
Other practice location 3
9805 Double R Blvd
Reno, NV 89521-6026
Phone (833) 351-8255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 354831505 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22 Prestige Cir
Suite 200
Allen, TX 75002-3441
Phone (214) 383-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spangler Medical Enterprises PA | Current | Accepting new patients | |
| Mynd-Sync Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Beacon Behavioral of Texas PA | Current | Accepting new patients |
Locations
22 Prestige Cir
Ste 200
Allen, TX 75002
Phone (214) 383-3200
5959 West Loop S
Ste 600
Bellaire, TX 77401
Phone (713) 669-0303
6575 West Loop S
#522
Bellaire, TX 77401
Phone (346) 241-7744
6575 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 560-2369
6575 West Loop S
Ste 522
Bellaire, TX 77401
646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001
550 Westcott St
Ste 520
Houston, TX 77007
Phone (713) 864-6694
1501 N Amburn Rd
Ste 9
Texas City, TX 77591
Phone (281) 620-4902
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Allen, TX
- NPI 1053545335
-
- Family Medicine Physician
- Dickinson, TX
- NPI 1912134768
-
- Psychiatric/Mental Health Nurse Practitioner
- Bellaire, TX
- NPI 1538983549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1962879460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4618 CREEKBEND DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770355016",
"telephone_number": "832-529-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "833-351-8255"
}
],
"practiceLocations": [
{
"address_1": "950 W Bannock St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837025999",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 W Broadway",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841012002",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9805 Double R Blvd",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895216026",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEDAK",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403369",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "832571",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP128646",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "354831505",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.